Transurethral Holmium Laser Enucleation of the Prostate Compared with Transvesical Open Prostatectomy: 18-Month Follow-Up of a Randomized Trial

Abstract

The HoLEP appears to be an endourologic alternative to open surgical enucleation of the prostate for large glands. It entails significantly less blood loss and a much shorter catheter time and hospital stay. The perioperative outcome strongly favors the holmium procedure. The rate of late complications is equally low with each procedure. The postoperative micturition improvement was significant and lasting and was equivalent in the two groups.