https://doi.org/10.4081/aiua.2022.2.174

Is Holmium Laser Enucleation of Prostate equally effective in management of benign prostatic hyperplasia patients with either voiding or storage lower urinary tract symptoms? A comparative study

Vol. 94 No. 2 (2022)
Submitted: March 22, 2022
Accepted: May 14, 2022
Published: June 29, 2022
Holmium Laser Enucleation of Prostate (HoLEP); Benign Prostatic Hyperplasia (BPH); Lower Urinary Tract Symptoms (LUTS).
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Authors

Mostafa M. Mostafa
mostafmm@ucmail.uc.edu
Division of Urology, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati (US); Asiut University Hospitals, Asiut, Egypt, United States.
Nilesh Patil
Division of Urology, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States.
Mahmoud Khalil
Asiut University Hospitals, Asiut, Egypt.
Mohammed A. Elgammal
Asiut University Hospitals, Asiut, Egypt.
Ayman Mahdy
Division of Urology, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States.

Objective: To evaluate and compare the effectiveness and safety of holmium laser enucleation of prostate (HoLEP) in relieving either voiding or storage lower urinary tract symptoms (LUTS) in benign prostatic hyperplasia (BPH) patients. Materials and methods: The charts of patients with BPH who underwent HoLEP for either predominant voiding or predominant storage LUTS at University of Cincinnati hospitals in the period between February 2015 and December 2020 were retrospectively reviewed and analyzed for changes in voiding symptomatology, storage symptomatology, hematuria, International Prostate Symptom Score (IPSS), peak flow rates (Qmax), presence of detrusor overactivity (DO), and post-voiding residual urine (PVR) from baseline to up to 6 months postoperatively. Results: A total of 132 patients were included in the analysis. Patients were divided into two groups: Group 1 included BPH patients with predominant voiding LUTS (68 Patients) while group 2 involved those with predominant storage LUTS (64 Patients). HoLEP was equally effective in management of both groups with significant improvement in urodynamics study (UDS) parameters, patient voiding and storage symptomatology, and IPSS from preoperatively to up to 6 months postoperatively with relatively low procedure complication rate and postoperative need for medication or procedure. Conclusions: HoLEP is a safe, effective, and reliable minimally invasive surgical modality that can be relied on for BPH patients with either predominant voiding or predominant storage symptoms with relatively low procedure complicat

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How to Cite

Mostafa, M. M., Patil, N., Khalil, M., Elgammal, M. A., & Mahdy, A. (2022). Is Holmium Laser Enucleation of Prostate equally effective in management of benign prostatic hyperplasia patients with either voiding or storage lower urinary tract symptoms? A comparative study. Archivio Italiano Di Urologia E Andrologia, 94(2), 174–179. https://doi.org/10.4081/aiua.2022.2.174

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