TO EVALUATE THE EARLY OUTCOMES OF HOLMIUM LASER ENUCLEATION OF THE PROSTATE (HoLEP) IN THE TREATMENT OF BENIGN PROSTATIC HYPERPLASIA AT PHU THO PROVINCIAL GENERAL HOSPITAL
Main Article Content
Abstract
Background and aims: To evaluate the early outcomes of holmium laser enucleation of the prostate (HoLEP) in the treatment of benign prostatic hyperplasia at Phu Tho Provincial General Hospital. Methods: A case series study was conducted on 40 patients who underwent HoLEP at Phu Tho Provincial General Hospital from January 2024 to June 2025. Collected variables included age, preoperative prostate-specific antigen (PSA) level, prostate volume measured by ultrasound, operative time, intraoperative complications, duration of urethral catheterization, length of hospital stay, and clinical outcomes one month after surgery. Results: The mean age was 73.75 ± 7.97 years. The mean preoperative prostate volume was 91.27 ± 28.12 ml, and the mean PSA level was 13.14 ± 11.7 ng/ml. The mean operative time was 128.85 ± 48.14 minutes. Blood transfusion was required in 10 patients (25%). The mean duration of urethral catheterization was 4 days, and the mean hospital stay was 5.83 days. After one month, 36 patients (90%) had normal voiding. The mean postoperative prostate volume decreased to 28.5 ± 7.5 ml. Conclusion: HoLEP is a safe and effective surgical technique for the treatment of benign prostatic hyperplasia, providing significant improvement in lower urinary tract symptoms with a low complication rate. Larger studies with longer follow-up are needed to evaluate long-term outcomes.
Article Details
Keywords
Benign prostatic hyperplasia, HoLEP, prostate surgery.
References
2. 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(1):160-168.
3. Ibrahim A, Alharbi M, Elhilali M, Carrier S. Eighteen years of holmium laser enucleation of the prostate: a single-center experience. J Urol. 2018;199(4):e838-e839.
4. Đỗ Trường Thành, Nguyễn Đình Quyền, Nguyễn Đức Uyên. Kết quả bóc nhân phì đại lành tính tuyến tiền liệt nội soi qua niệu đạo bằng Holmium laser tại Bệnh viện Hữu nghị Việt Đức. Tạp chí Y học Việt Nam. 2023;526(1B):xxx-xxx.
5. Elmansy HM, Kotb A, Elhilali MM. Holmium laser enucleation of the prostate: long-term durability of clinical outcomes and complication rates during 10 years of follow-up. J Urol. 2011;186(5):1972-1976.
6. Võ Văn Chung, Đỗ Trường Thành. Đánh giá kết quả sớm bóc nhân phì đại lành tính tuyến tiền liệt bằng Holmium laser qua đường niệu đạo tại Bệnh viện Hữu nghị Việt Đức. Tạp chí Y học Việt Nam. 2022;509(2):xxx-xxx.
7. Elshal AM, Mekkawy R, Laymon M, Barakat TS, et al. Holmium laser enucleation of the prostate for treatment of large-sized benign prostatic hyperplasia: is it a realistic endourologic alternative in developing countries? World J Urol. 2016;34(3):399-405.
8. Vũ PT, Thái NX, Châu NN, Hoàng NPC. Đánh giá kết quả sớm phương pháp bóc nhân tuyến tiền liệt bằng laser Holmium tại Bệnh viện Bình Dân. Y Học TP Hồ Chí Minh. 2021;25:207-212