Article

The high-powered holmium laser to treat benign prostatic hyperplasia

Current Bladder Dysfunction Reports 04/2012; 3(3):177-182. DOI:10.1007/s11884-008-0026-3 pp.177-182

ABSTRACT Since 1994, the high-powered holmium laser has been used to treat benign prostatic hyperplasia with various techniques. The
current technique of holmium laser enucleation of the prostate is a true surgical enucleation of the adenoma, as evidenced
by prostate-specific antigen data, pathologic tissue weight, and urodynamic parameters compared with transurethral resection
of the prostate and, more importantly, open prostatectomy. The current evidence base for this procedure consists of eight
randomized trials, systematic reviews, meta-analyses, and data on many patient subsets. Recently, this procedure’s durability
beyond 6 years has been confirmed.

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Keywords

benign prostatic hyperplasia
 
current evidence base
 
high-powered holmium laser
 
holmium laser enucleation
 
open prostatectomy
 
pathologic tissue weight
 
procedure’s durability
 
prostate
 
prostate-specific antigen data
 
systematic reviews
 
transurethral resection
 
true surgical enucleation
 

Liam C Wilson