Is HoLEP (holmium laser enucleation of the prostate) a safety and efficacy therapeutic method for elderly patients?

林 建二郎, 宍戸 俊英, 菅田 明子, 中村 雄, 板谷 直, 原 秀彦, 多武保 光宏, 桶川 隆嗣, 東原 英二, 奴田原 紀久

doi:10.11302/jsejje.28.137

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Other Title

HoLEP（ホルミウムレーザー前立腺核出術）は高齢者にとって安全・有効な治療法か？
HoLEP(ホルミウムレーザーゼンリツセンカクシュツジュツ)ハコウレイシャニトッテアンゼン・ユウコウナチリョウホウカ?

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Objective：We examined the treatment outcome following holmium laser enucleation of the prostate（HoLEP）in elderly patients. <br> Subjects and Methods：A total of 168 patients undergoing HoLEP between December 2005 and May 2010 were classified into two groups：those aged 75 or older（n=51）, aged 74 or younger（n=117）examined subjective symptoms, and urodynamic indices, and complications. <br> Results：Significant improvements of subjective symptoms and urodynamic indices were noted in both groups（p<0.001）. There were more complications observed in those aged 74 or younger, with 5 patients with urinary retention（4.3%）, 5 patients with epididymitis（4.3%）, and 4 patients with postoperative hemorrhage（3.4%）. There was no significant difference observed in the postoperative reduction of hemoglobin, rate of blood transfusion, or rate of complication by urinary incontinence between the two groups. <br> Conclusion：HoLEP was considered a useful and comparatively less invasive procedure in elderly patients with benign prostatic hyperplasia.

Journal

Japanese Journal of Endourology

Japanese Journal of Endourology 28 (1), 137-141, 2015

Japanese Society of Endourology and Robotics

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