Category: BPH/LUTS: Electrosurgery, Lasers & Other Technology
Introduction & Objective : To investigate the safety and success of Holmium Laser Enuclation of Prostate (HoLEP) surgery in patients with metabolic syndrome (MS) versus in patients without MS that have similar prostate sizes.
Methods : Data from 119 patients who underwent HoLEP by a single surgeon between November 2015 and January 2018 were retrospetively analyzed. Group 1 (n=40) and Group 2 (n=79) were consisted of patients with and without MS, respectively.Preoperative and postoperative 3 rd month control variables included; haemoglobin level (gram/decilitre), International Prostate Symptom Score (IPSS), uroflowmetry parameters such as maximum flow rate (Qmax) (mL/sec), average flow rate (Qave) (mL/sec), post voided residue (PVR) (mL), voiding time (VT) (sec), time to maximum flow rate (MVT) (sec) were compared between the groups.
Results : In between the two groups’ postoperative outcomes only hospitalization time (HT) (hour) was significant among IPSS, Qmax, Qave, PVR, VT, MVT, Hb decrease(g/dL) and catheterization time (CT) (hour) (p=0.03). Perioperative outcomes as enuclated tissue weight (ETW) (g), efficiency of enuclation (EE) (g/min), enuclation rate (ER) (%), efficiency of morcelation (EM) (g/min), enuclation time (ET) (g/min), morcelation time (MT) (min), total operation time (TOT) (min), total laser energy (TLE) (joule) and efficiency of laser (E) (joule/g) were compared as insignificant in between the two groups (p>0.05).
Conclusions : We found that HoLEP can be considered as a safe and effective surgical treatment for the patients with MS.
Serdar Yalcin– Urologist, Ankara, Ankara, Turkey
Tahsin Batuhan Aydogan– Urologist, Goksun, Kahramanmaras, Turkey
Engin Kaya– Urologist, Ankara, Ankara, Turkey
Eymen Gazel– Urologist, acibadem, Ankara, Ankara, Turkey
Halil Cagri Aybal– Urologist, Ankara, Ankara, Turkey
Lutfi Tunc– Urologist, Gazi University School of Medicine Dept. of Urology, Ankara, Ankara, Turkey
Ankara, Ankara, Turkey
Im working İn Acibaem University Ankara hospital as Asist.Prof in Ankara,Turkey