The Journal of Urology
Volume 184, Issue 2 , Pages 635-640 , August 2010

Holmium Laser Enucleation of the Prostate: Efficiency Gained by Experience and Operative Technique

  • Michael W. Dusing

      Affiliations

    • Indiana University School of Medicine, Indianapolis, Indiana
    • ,
  • Amy E. Krambeck

      Affiliations

    • Mayo Clinic, Rochester, Minnesota
    • ,
  • Colin Terry

      Affiliations

    • Methodist Research Institute, Indianapolis, Indiana
    • ,
  • Brian R. Matlaga

      Affiliations

    • The Johns Hopkins University School of Medicine, Baltimore, Maryland
    • ,
  • Nicole L. Miller

      Affiliations

    • Vanderbilt University School of Medicine, Nashville, Tennessee
    • ,
  • Mitchell R. Humphreys

      Affiliations

    • Financial interest and/or other relationship with Lumenis and Boston Scientific.
    • Mayo Clinic, Scottsdale, Arizona
    • ,
  • Ehud Gnessin

      Affiliations

    • Methodist Hospital Institute for Kidney Stone Disease, Indianapolis, Indiana
    • ,
  • James E. Lingeman

      Affiliations

    • Methodist Hospital Institute for Kidney Stone Disease, Indianapolis, Indiana
    • Corresponding Author InformationCorrespondence: Methodist Hospital Institute for Kidney Stone Disease, 1801 North Senate Blvd., Suite 220, Indianapolis, Indiana 46202 (telephone: 317-962-2485; FAX: 317-962-2893)

Received 30 November 2009

References 

  1. Tooher R, Sutherland P, Costello A, et al. A systematic review of holmium laser prostatectomy for benign prostatic hyperplasia. J Urol. 2004;171:1773
  2. Kuntz RM, Lehrich K. Transurethral holmium laser enucleation versus transvesical open enucleation for prostate adenoma greater than 100 gm: a randomized prospective trial of 120 patients. J Urol. 2002;168:1465
  3. Matlaga BR, Miller NL, Lingeman JE. Holmium laser treatment of benign prostatic hyperplasia: an update. Curr Opin Urol. 2007;17:27
  4. Kuntz RM. Current role of lasers in the treatment of benign prostatic hyperplasia (BPH). Eur Urol. 2006;49:961
  5. Kuntz RM, Lehrich K, Ahyai S. Transurethral holmium laser enucleation of the prostate compared with transvesical open prostatectomy: 18-month follow-up of a randomized trial. J Endourol. 2004;18:189
  6. Kuntz RM, Ahyai S, Lehrich K, et al. Transurethral holmium laser enucleation of the prostate versus transurethral electrocautery resection of the prostate: a randomized prospective trial in 200 patients. J Urol. 2004;172:1012
  7. Ahyai SA, Lehrich K, Kuntz RM. Holmium laser enucleation versus transurethral resection of the prostate: 3-year follow-up results of a randomized clinical trial. Eur Urol. 2007;52:1456
  8. Montoris F, Naspro R, Salonia A, et al. Holmium laser enucleation versus transurethral resection of the prostate: results from a 2-center, prospective, randomized trial in patients with benign prostatic hyperplasia. J Urol. 2004;172:1926
  9. Naspro R, Suardi N, Salonia A, et al. Holmium laser enucleation of the prostate versus open prostatectomy for prostates >70 g: 24-month follow-up. Eur Urol. 2006;50:563
  10. Gilling PJ, Machkey M, Cresswell M, et al. Holmium laser versus transurethral resection of the prostate: a randomized prospective trial with 1 year followup. J Urol. 1999;162:1640
  11. Wilson LC, Gilling PJ, Williams A, et al. A randomized trial comparing holmium laser enucleation versus transurethral resection in the treatment of prostates larger than 40 grams: results at 2 years. Eur Urol. 2006;50:569
  12. Gilling PJ, Aho TF, Frampton CM, et al. Holmium laser enucleation of the prostate: results at 6 years. Eur Urol. 2008;53:744
  13. Kuo RL, Kim SC, Lingeman JE, et al. Holmium laser enucleation of the prostate (HoLEP): the Methodist hospital experience with greater than 70 gram enucleations. J Urol. 2003;170:149
  14. Kuntz RM, Lehrich K, Ahyai SL. Does perioperative outcome of transurethral holmium laser enucleation of the prostate depend on prostate size?. J Endourol. 2004;18:183
  15. Elzayat EA, Habib EI, Elhilai MM. Holmium laser enucleation of the prostate: a size-independent new “gold standard.”. Urology. 2005;66:108
  16. Elzayat EA, Elhilali MM. Holmium laser enucleation of the prostate (HoLEP): the endourologic alternative to open prostatectomy. Eur Urol. 2006;49:87
  17. Vavassori I, Hurle R, Vismara A, et al. Holmium laser enucleation of the prostate combined with mechanical morcellation: two years of experience with 196 patients. J Endourol. 2004;18:109
  18. Kuntz RM, Lehrich K, Ahyai SA. Holmium laser enucleation of the prostate versus open prostatectomy for prostates greater than 100 grams: 5-year follow-up results of a randomized clinical trial. Eur Urol. 2008;53:160
  19. Tan AH, Gilling PJ, Kennett KM, et al. A randomized trial comparing holmium laser enucleation of the prostate with transurethral resection of the prostate for the treatment of bladder outlet obstruction secondary to benign prostatic hyperplasia in large glands (40–200 grams). J Urol. 2003;170:1270
  20. Roehrborn CG, Bartsch G, Kirby R, et al. Guidelines for the diagnosis and treatment of benign prostatic hyperplasia: a comparative, international overview. Urology. 2001;58:642
  21. Volpe MA, Fromer D, Kaplan SA. Holmium and interstitial lasers for the treatment of benign prostatic hyperplasia: a laser revival. Curr Opin Urol. 2001;11:43
  22. Kim SC, Matlaga BR, Kuo RL, et al. Holmium laser enucleation of the prostate: a comparison of efficiency measures at two institutions. J Endourol. 2005;19:555
  23. Fraundorfer MR, Gilling PJ, Kennett KM, et al. Holmium laser-resection of the prostate is more cost effective than transurethral resection of the prostate: results of a randomized prospective study. Urology. 2001;57:454
  24. Salonia A, Suardi N, Naspro R, et al. Holmium laser enucleation versus open prostatectomy for benign prostatic hyperplasia: an inpatient cost analysis. Urology. 2006;68:302
  25. Gilling PJ, Kennett KM, Fraundorfer MR. Holmium laser enucleation of the prostate for glands larger than 100 g: an endourologic alternative to open prostatectomy. J Endourol. 2000;14:529
  26. El-Hakim A, Elhilali MM. Holmium laser enucleation of the prostate can be taught: the first learning experience. BJU Int. 2002;90:863
  27. Mebust WK, Hotgrewe HL, Cockett AT, et al. Transurethral prostatectomy: immediate and postoperative complications: cooperative study of 13 participating institutions evaluating 3,885 patients. J Urol. 1989;141:243
  28. Madersbacher S, Lackner J, Brossner C, et al. Reoperation myocardial infarction and mortality after transurethral and open prostatectomy: a nation-wide, long-term analysis of 23,123 cases. Eur Urol. 2005;47:499
  29. Baumert H, Ballaro A, Dugardin F, et al. Laparoscopic versus open simple prostatectomy: a comparative study. J Urol. 2006;175:1691
  30. Sotelo R, Clavijo R, Carmona O, et al. Robotic simple prostatectomy. J Urol. 2008;179:513

 Study received institutional review board approval.

PII: S0022-5347(10)03257-X

doi: 10.1016/j.juro.2010.03.130

The Journal of Urology
Volume 184, Issue 2 , Pages 635-640 , August 2010

Article Tools

* Image Usage & Resolution