Holmium laser enucleation of the prostate (HoLEP) combined with transurethral tissue morcellation: an update on the early clinical experience

J Endourol. 1998 Oct;12(5):457-9. doi: 10.1089/end.1998.12.457.


The preliminary experience with 64 patients who have undergone HoLEP combined with intravesical morcellation is presented. The mean preoperative prostate volume was 75.3 cc. The mean laser time was 46.9 minutes and the morcellator time a further 10.5 minutes. A mean total of 35.5 g of tissue was obtained, and 93% of the patients were discharged the day after their surgery without a catheter. The American Urological Association Symptom Score at 1 month was 8.6 and the peak flow rate 23.4 mL/sec. This combination of procedures allows prostate glands of virtually any size to be safely treated transurethrally, and a complete anatomic enucleation of the prostatic adenoma is achieved.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Follow-Up Studies
  • Humans
  • Laser Therapy*
  • Length of Stay
  • Male
  • Middle Aged
  • Prostate / pathology
  • Prostate / surgery*
  • Prostatectomy / instrumentation
  • Prostatectomy / methods*
  • Prostatic Hyperplasia / pathology
  • Prostatic Hyperplasia / physiopathology
  • Prostatic Hyperplasia / surgery
  • Prostatic Neoplasms / pathology
  • Prostatic Neoplasms / physiopathology
  • Prostatic Neoplasms / surgery
  • Treatment Outcome
  • Urodynamics