TY - JOUR
T1 - Holmium Laser Enucleation Versus Transurethral Resection of the Prostate
T2 - Results From a 2-Center Prospective Randomized Trial in Patients With Obstructive Benign Prostatic Hyperplasia
AU - Montorsi, Francesco
AU - Naspro, Richard
AU - Salonia, Andrea
AU - Suardi, Nazareno
AU - Briganti, Alberto
AU - Zanoni, Matteo
AU - Valenti, Sergio
AU - Vavassori, Ivano
AU - Rigatti, Patrizio
PY - 2008/5
Y1 - 2008/5
N2 - Purpose: To our knowledge we report the first multicenter, prospective, randomized study comparing holmium laser enucleation (HoLEP) and transurethral prostate resection (TURP) for obstructive benign prostatic hyperplasia. Materials and Methods: From January to October 2002, 100 consecutive patients with symptomatic obstructive benign prostatic hyperplasia were randomized at 2 centers to surgical treatment with HoLEP (52 in group 1) or TURP (48 in group 2). Patients in the 2 groups were preoperatively assessed by scoring subjective symptoms questionnaires. Preoperative and perioperative parameters were also evaluated, the latter at 1, 6 and 12 months of followup. Results: At baseline all patients had obstruction (Schäfer grade greater than 2). At the 1, 6 and 12-month followups no statistically significant differences were observed between the 2 groups in terms of urodynamic findings and subjective symptom scoring. In the HoLEP group mean total time in the operating room ± SD was significantly longer than for TURP (74 ± 19.5 vs 57 ± 15 minutes, p
AB - Purpose: To our knowledge we report the first multicenter, prospective, randomized study comparing holmium laser enucleation (HoLEP) and transurethral prostate resection (TURP) for obstructive benign prostatic hyperplasia. Materials and Methods: From January to October 2002, 100 consecutive patients with symptomatic obstructive benign prostatic hyperplasia were randomized at 2 centers to surgical treatment with HoLEP (52 in group 1) or TURP (48 in group 2). Patients in the 2 groups were preoperatively assessed by scoring subjective symptoms questionnaires. Preoperative and perioperative parameters were also evaluated, the latter at 1, 6 and 12 months of followup. Results: At baseline all patients had obstruction (Schäfer grade greater than 2). At the 1, 6 and 12-month followups no statistically significant differences were observed between the 2 groups in terms of urodynamic findings and subjective symptom scoring. In the HoLEP group mean total time in the operating room ± SD was significantly longer than for TURP (74 ± 19.5 vs 57 ± 15 minutes, p
KW - laser surgery
KW - prostate
KW - prostatectomy
KW - prostatic hyperplasia
KW - transurethral resection of prostate
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U2 - 10.1016/j.juro.2008.03.143
DO - 10.1016/j.juro.2008.03.143
M3 - Article
C2 - 18405765
AN - SCOPUS:41849083476
VL - 179
JO - Journal of Urology
JF - Journal of Urology
SN - 0022-5347
IS - 5 SUPPL.
ER -