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   Is Holmium Laser Enucleation of the Prostate a Good Surgical Alternative in Benign Prostatic Hyperplasia Management? A Review Article  
   
نویسنده abedi amirreza ,razzaghi mohammad reza ,rahavian amirhossein ,hazrati ebrahim ,aliakbari fereshte ,vahedisoraki vahid ,allameh farzad
منبع journal of lasers in medical sciences - 2020 - دوره : 11 - شماره : 2 - صفحه:197 -203
چکیده    Several therapeutic approaches such as holmium laser enucleation of the prostate (holep) have been introduced to relieve bladder outlet obstruction caused by benign prostatic hyperplasia (bph). compared with other techniques including the transurethral resection of the prostate (turp) and simple open prostatectomy, holep results in a shorter hospital stay and catheterization time and fewer blood loss and transfusions. holep is a size-independent treatment option for bph with average gland size from 36 g to 170 g. holep is a safe procedure in patients receiving an anticoagulant and has no significant influence on the hemoglobin level. also, holep is an easy and safe technique in patients with a prior history of prostate surgery and a need for retreatment because of adenoma regrowth. the postoperative erectile dysfunction rate of patients treated with holep is similar to turp or open prostatectomy and about 77% of these patients experience loss of ejaculation. patients with transitional zone volume less than 30 ml may suffer from persistent stress urinary incontinence following holep so other surgical techniques like bipolar turp are a good choice for these patients. in young patients, considering holep with high prostate-specific antigen density and a negative standard template prostate biopsy, multiparametric mri needs to be considered to exclude prostate cancer.
کلیدواژه Laser ,Minimal invasive ,HoLEP ,Prostate surgery ,Prostate hyperplasia ,Transurethral resection of prostate.
آدرس shahid beheshti university of medical sciences, shohada-e-tajrish hospital, urology department, Iran, shahid beheshti university of medical sciences, laser application in medical science research center, Iran, shahid beheshti university of medical sciences, shohada-e-tajrish hospital, urology department, Iran, aja university of medical sciences, school of medicine, 501 hospital (imam reza), Iran, shahid beheshti university of medical sciences, men’s health and reproductive health research center, Iran, iran university of medical sciences, hasheminejad kidney center, department of urology, Iran, shahid beheshti university of medical sciences, laser application in medical science research center, Iran
پست الکترونیکی farzadallame@gmail.com
 
     
   
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