European Urology
Volume 50, Issue 3 , Pages 569-573 , September 2006

A Randomised Trial Comparing Holmium Laser Enucleation Versus Transurethral Resection in the Treatment of Prostates Larger Than 40Grams: Results at 2 Years

  • Liam C. Wilson

      Affiliations

    • Department of Urology, Tauranga Hospital, Tauranga, New Zealand
    • ,
  • Peter J. Gilling

      Affiliations

    • Department of Urology, Tauranga Hospital, Tauranga, New Zealand
    • Corresponding Author InformationCorresponding author. Promed Urology Ltd, P O Box 56, Tauranga, New Zealand. Tel. +64 7 578 2561; Fax: +64 7 578 4717.
    • ,
  • Andrew Williams

      Affiliations

    • Department of Urology, Tauranga Hospital, Tauranga, New Zealand
    • ,
  • Katie M. Kennett

      Affiliations

    • Department of Urology, Tauranga Hospital, Tauranga, New Zealand
    • ,
  • Chris M. Frampton

      Affiliations

    • Department of Biostatistics, Christchurch School of Medicine, Christchurch, New Zealand
    • ,
  • Andre M. Westenberg

      Affiliations

    • Department of Urology, Tauranga Hospital, Tauranga, New Zealand
    • ,
  • Mark R. Fraundorfer

      Affiliations

    • Department of Urology, Tauranga Hospital, Tauranga, New Zealand

,Accepted 11 April 2006.

References 

  1. Mebust WK, Holtgrewe HL, Cockett AT, Peters PC. Transurethral prostatectomy: immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3,885 patients. J Urol. 1989;141:243–247
  2. Gilling PJ, Mackey M, Cresswell M, Kennett KM, Kabalin JN, Fraundorfer MR. Holmium laser resection V transurethral resection of the prostate: results of a randomized trial with 1 year of follow-up. J Urol. 1999;162:1640–1644
  3. Gilling PJ, Kennett KM, Fraundorfer MR. Holmium laser resection V transurethral resection of the prostate: results of a randomized trial with 2 years of follow-up. J Endourol. 2000;14:757–760
  4. Westenberg A, Gilling P, Kennett KM, Frampton C, Fraundorfer MR. Holmium laser resection of the prostate versus transurethral resection of the prostate: results of a randomized trial with 4-year minimum long-term followup. J Urol. 2004;172:616–619
  5. Tan AHH, Gilling PJ, Kennett KM, Frampton C, Westenberg AM, Fraundorfer MR. A randomized trial comparing holmium laser enucleation of the prostate with transurethral resection of the prostate for the treatment of bladder outlet obstruction secondary to benign prostatic hyperplasia in large glands (40 to 200grams). J Urol. 2003;170:1270–1274
  6. Gilling PJ, Kennett KM, Das AK, Thompson D, Fraundorfer MR. Holmium laser enucleation of the prostate (HoLEP) combined with transurethral tissue morcellation: an update on the early clinical experience. J Endourol. 1998;12:457–459
  7. Aho TF, Gilling PJ, Kennett KM, Westenberg AM, Fraundorfer MR, Frampton C. Holmium laser bladder neck incision versus holmium enucleation of the prostate as outpatient procedures for prostates less than 40 grams: a randomized trial. J Urol. 2005;174:210–214
  8. Montorsi F, Naspro R, Salonia A, et al. Holmium laser enucleation versus transurethral resection of the prostate: results from a 2-center, prospective, randomized trial in patients with obstructive benign prostatic hyperplasia. J Urol. 2004;172:1926–1929
  9. Kuntz RM, Ahyai S, Lehrich K, Fayad A. Transurethral holmium laser enucleation of the prostate versus transurethral electrocautery resection of the prostate: a randomized prospective trial in 200 patients. J Urol. 2004;172:1012–1016
  10. Gupta N, Sivaramakhrisna , Kumar R, Dogra PN, Seth A. Comparison of standard transurethral resection, transurethral vapour resection and holmium laser enucleation of the prostate for managing benign prostatic hyperplasia of >40g. BJU Int. 2006;97:85–89
  11. Tooher R, Sutherland P, Costello A, Gilling PJ, Rees G, Maddern G. A systematic review of holmium laser prostatectomy. J Urol. 2004;171:1773–1781
  12. Kuntz R, Lehrich K, Ahyai S. Transurethral holmium laser enucleation of the prostate compared with transvesical open prostatectomy: 18-month follow-up of a randomized trial. J Endourol. 2004;18:189–191
  13. Elzayat EA, Elhilali MM. Holmium laser enucleation of the prostate (HoLEP): the endourologic alternative to open prostatectomy. Eur Urol. 2006;87–91(Epub 2005;Nov 2)
  14. El-Hakim A, Elhilali MM. Holmium laser enucleation of the prostate can be taught: the first learning experience. BJU Int. 2002;90:863–869
  15. Fraundorfer M, Gilling P, Kennett KM, Dunton NG. Holmium laser resection of the prostate is more cost effective than transurethral resection of the prostate: results of a randomized prospective study. Urology. 2001;57:454–458
  16. Mariano MB, Tefilli MV, Graziottin TM, Morales CMP, Goldraich IH. Laparoscopic prostatectomy for benign prostatic hyperplasia – a six year experience. Eur Urol. 2006;49:127–132
  17. Matlaga BR, Kim SC, Kuo RL, Watkins SL, Lingeman JE. Holmium laser enucleation of the prostate for prostates of >125mL. BJU Int. 2006;97:81–84
  18. Shah HN, Kausik V, Hedge S, Shah JN, Bansal MB. Evaluation of fluid absorption during holmium laser enucleation of prostate by breath ethanol technique. J Urol. 2006;175:537–540

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PII: S0302-2838(06)00497-0

doi: 10.1016/j.eururo.2006.04.002

European Urology
Volume 50, Issue 3 , Pages 569-573 , September 2006

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