First Fifty Cases with En-Bloc Holmium Laser Enucleation of the Prostate

Summary In the last decade, Holmium Laser Enucleation of Prostate (HoLEP) has become new gold standard for surgical treatment benign prostatic hyperplasia (BPH). This several modifications, and latest one is en bloc (single piece) enucleation. method reduces operative time risk early incontinence. The long-term effect much better than transurethral resection prostate (TURP). We applied an effective treating with maximum safety, minimal hospital stays, short time, complications. operated on 50 patients BPH a volume between 30-120 cc. Transrectal ultrasound, uroflowmetry, PSA test, IPSS (International Symptom Score), residual urine, digital rectal examination, laboratory blood urine tests were performed preoperatively. used laser (Auriga XL) W, 600 μm fiber morcellator (Richard Wolf PIRANHA). During procedure, laser’s operating power was 36 W. En enucleation in all patients, followed by morcellation tissue. 11-52 min, - 1-10 weight enucleated tissue 15-100 g, efficiency 0.67-3.03 g/min, postoperative catheterization 24-72h, stay 1 to 3 days. One transfusion required. There no incontinence or other conclude that еn offers performance combined shorter learning curve requires at least twenty cases. recommended gland size initial trial should be 50-60 Starting small-sized glands increases capsule perforation, plane more difficult find.