EVALUATION EARLY OUTCOME OF HOLMIUM LASER ENUCLEATION OF THE PROSTATE AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL
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Abstract
Background: Holmium laser enucleation of the prostate (HoLEP) is the preferred treatment for large-volume benign prostatic hyperplasia; however, in Vietnam, this technique has not yet been widely implemented. Objectives: to evaluate the early outcomes of HoLEP at Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: a prospective case series study was conducted from January 1, 2024, to May 30, 2025, at Can Tho University of Medicine and Pharmacy Hospital. Results: A total of 18 patients underwent HoLEP and were followed for 6 months postoperatively. The mean age was 70.61 ± 6.89 years. Improvements were observed in quality of life (QoL), International Prostate Symptom Score (IPSS), prostate-specific antigen (PSA), uroflowmetry parameters, and post-void residual urine volume. Regarding postoperative complications, two patients developed urinary tract infection, one experienced acute urinary retention after catheter removal, and one sustained bladder perforation. Conclusion: HoLEP is a feasible and highly effective treatment for benign prostatic hyperplasia with large prostate volumes.
Keywords
benign prostatic hyperplasia, holmium laser, HoLEP
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