EVALUATION OF EARLY OUTCOMES OF TRANSURETHRAL HOLMIUM LASER ENUCLEATION OF THE PROSTATE FOR BENIGN PROSTATIC HYPERPLASIA AT VINMEC TIMES CITY INTERNATIONAL HOSPITAL
Main Article Content
Abstract
Objective: To evaluate the early outcomes of Holmium Laser Enucleation of the Prostate (HoLEP) for large benign prostatic hyperplasia (BPH) glands. Methods: A retrospective study was conducted on 48 patients with BPH (prostate volume >60 mL) who underwent HoLEP at Vinmec Times City International Hospital from May 2019 to May 2025. Outcome measures included IPSS, QoL, Qmax, prostate volume, operative time, and perioperative complications classified by Clavien-Dindo grade. Results: The mean age was 68.32 ± 9.4 years, and mean prostate volume was 80 ± 19 mL. The mean operative time was 98.7 ± 52.5 minutes, with a morcellation time of 40.56 ± 10.5 minutes. Postoperatively, the mean IPSS score significantly decreased from 26.08 ± 3.1 to 6.15 ± 1.6 (p<0.001). No cases of TUR syndrome were observed. Transient urinary incontinence occurred in 4.2% of patients. Conclusion: HoLEP is a safe and effective treatment for large BPH, offering significant improvement in lower urinary tract symptoms, reduced hospital stay, and minimal bleeding complications.
Article Details
Keywords
HoLEP; Benign Prostatic Hyperplasia; Holmium Laser; LUTS.
References
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