AB070. Comparison of photoselective vaporization versus holmium laser enucleation for treatment of benign prostate hyperplasia in a small prostate volume
Poster Presentation

AB070. Comparison of photoselective vaporization versus holmium laser enucleation for treatment of benign prostate hyperplasia in a small prostate volume

Woong Jin Bae1, Fahad Bashraheel1, Sae Woong Choi1, Su Jin Kim1, Byung Il Yoon2, Sae Woong Kim1

1Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea; 2Department of Urology, The Catholic Kwandong University of Korea, International St Mary’s hospital, Incheon, Republic of Korea


Objective: Photoselective vaporization of the prostate (PVP) using GreenLight and Holmium laser enucleation of the prostate (HoLEP) is an important surgical technique for management of benign prostate hyperplasia (BPH). We aimed to compare the effectiveness and safety of PVP using a 120 W GreenLight laser with HoLEP in a small prostate volume.

Methods: Patients who underwent PVP or HoLEP surgery for BPH at our institutions were reviewed from May 2009 to December 2014 in this retrospective study. Among them, patients with prostate volumes <40 mL based on preoperative trans-rectal ultrasonography were included in this study. Peri-operative and post-operative parameters—such as International Prostate Symptom Score (IPSS), quality of life (QoL), maximum urinary flow rate (Qmax), post-void residual urine volume (PVR), and complications—were compared between the groups.

Results: PVP was performed in 176 patients and HoLEP in162 patients. Preoperative demographic data were similar in both groups, with the exception of PVR. Operative time and catheter duration did not show significant difference. Significant improvements compared to preoperative values were verified at the postoperative evaluation in both groups in terms of IPSS, QoL, Qmax, and PVR. Comparison of the postoperative parameters between the PVP and HoLEP groups demonstrated no significant difference, with the exception of IPSS voiding subscore at one month postoperatively (5.9 vs. 3.8, P<0.001). There was no significant difference in postoperative complications between the two groups.

Conclusions: Our data suggest that PVP and HoLEP are efficient and safe surgical treatment options for patients with small prostate volume.

Keywords: Holmium laser enucleation of the prostate (HoLEP); benign prostate hyperplasia (BPH); photoselective vaporization of the prostate (PVP)


doi: 10.21037/tau.2016.s070


Cite this abstract as: Bae WJ, Bashraheel F, Choi SW, Kim SJ, Yoon BI, Kim SW. Comparison of photoselective vaporization versus holmium laser enucleation for treatment of benign prostate hyperplasia in a small prostate volume. Transl Androl Urol 2016;5(Suppl 1):AB070. doi: 10.21037/tau.2016.s070

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