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Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study

OBJECTIVES: To prospectively evaluate safety and efficacy of holmium laser enucleation of prostate (HoLEP) for surgical treatment of recurrent symptoms due to prostatomegaly after prior transurethral resection of prostate (TURP). MATERIALS AND METHODS: We prospectively evaluated 43 patients with a h...

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Autores principales: Khater, Usama, Smith, Nicholas Anthony, Katz, Jonathan E., Bhat, Abhishek, Banerjee, Indraneel, Shah, Rashmi H., Shah, Hemendra N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9197008/
https://www.ncbi.nlm.nih.gov/pubmed/35711492
http://dx.doi.org/10.4103/ua.ua_106_21
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author Khater, Usama
Smith, Nicholas Anthony
Katz, Jonathan E.
Bhat, Abhishek
Banerjee, Indraneel
Shah, Rashmi H.
Shah, Hemendra N.
author_facet Khater, Usama
Smith, Nicholas Anthony
Katz, Jonathan E.
Bhat, Abhishek
Banerjee, Indraneel
Shah, Rashmi H.
Shah, Hemendra N.
author_sort Khater, Usama
collection PubMed
description OBJECTIVES: To prospectively evaluate safety and efficacy of holmium laser enucleation of prostate (HoLEP) for surgical treatment of recurrent symptoms due to prostatomegaly after prior transurethral resection of prostate (TURP). MATERIALS AND METHODS: We prospectively evaluated 43 patients with a history of TURP who underwent HoLEP (study group). Patients in chronological order who underwent HoLEP without prior TURP were included in the control group. We hypothesized that prior TURP would increase technical difficulties, thereby leading to a reduction in procedure efficiency by 25%. Patients’ demographic, intraoperative, and postoperative data were compared, and statistical analysis was performed. RESULTS: Demographic data in both groups were comparable. The average interval between past TURP and HoLEP was 4.22 years. There was no difficulty in identifying the dissection plane in the study group and the difference in the procedure efficiency between the study and the control groups were statistically insignificant (0.75 ± 0.31 g/min-study group vs. 0.69 ± 0.36 g/min-control group; P = 0.665). The intraoperative parameters and postoperative outcomes were comparable in both groups. CONCLUSIONS: Prior TURP does not negatively impact the outcome of HoLEP in treating symptomatic recurrence for enlarged prostate after initial TURP.
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spelling pubmed-91970082022-06-15 Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study Khater, Usama Smith, Nicholas Anthony Katz, Jonathan E. Bhat, Abhishek Banerjee, Indraneel Shah, Rashmi H. Shah, Hemendra N. Urol Ann Original Article OBJECTIVES: To prospectively evaluate safety and efficacy of holmium laser enucleation of prostate (HoLEP) for surgical treatment of recurrent symptoms due to prostatomegaly after prior transurethral resection of prostate (TURP). MATERIALS AND METHODS: We prospectively evaluated 43 patients with a history of TURP who underwent HoLEP (study group). Patients in chronological order who underwent HoLEP without prior TURP were included in the control group. We hypothesized that prior TURP would increase technical difficulties, thereby leading to a reduction in procedure efficiency by 25%. Patients’ demographic, intraoperative, and postoperative data were compared, and statistical analysis was performed. RESULTS: Demographic data in both groups were comparable. The average interval between past TURP and HoLEP was 4.22 years. There was no difficulty in identifying the dissection plane in the study group and the difference in the procedure efficiency between the study and the control groups were statistically insignificant (0.75 ± 0.31 g/min-study group vs. 0.69 ± 0.36 g/min-control group; P = 0.665). The intraoperative parameters and postoperative outcomes were comparable in both groups. CONCLUSIONS: Prior TURP does not negatively impact the outcome of HoLEP in treating symptomatic recurrence for enlarged prostate after initial TURP. Wolters Kluwer - Medknow 2022 2022-02-17 /pmc/articles/PMC9197008/ /pubmed/35711492 http://dx.doi.org/10.4103/ua.ua_106_21 Text en Copyright: © 2022 Urology Annals https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Khater, Usama
Smith, Nicholas Anthony
Katz, Jonathan E.
Bhat, Abhishek
Banerjee, Indraneel
Shah, Rashmi H.
Shah, Hemendra N.
Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study
title Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study
title_full Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study
title_fullStr Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study
title_full_unstemmed Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study
title_short Does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? Results from a prospective comparative study
title_sort does prior transurethral resection of prostate have a negative impact on the outcome of holmium laser enucleation of prostate? results from a prospective comparative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9197008/
https://www.ncbi.nlm.nih.gov/pubmed/35711492
http://dx.doi.org/10.4103/ua.ua_106_21
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