Holmium Laser Enucleation of the Prostate (HoLEP) in Ambulatory Surger

• Main Author: Marc Fourmarier
• Format: Article
• Language: English
• Published: European Medical Journal 2015-05-01
• Series: European Medical Journal Urology
• Subjects: Holmium laser enucleation of the prostate (HoLEP); ambulatory surgery; benign prostatic hyperplasia (BPH)
• Online Access: http://emjreviews.com/wp-content/uploads/Holmium-Laser-Enucleation-of-the-Prostate-HoLEP-in-Ambulatory-Surgery.pdf

The focus of this work is the need to give an update on the holmium laser enucleation of the prostate (HoLEP) technique in ambulatory surgery. Indeed, over the last two decades, there has been a significant change in surgical treatment of benign prostatic hyperplasia. Laser surgery has been growing in popularity as an alternative to standard transurethral prostatectomy. Our goal was to analyse the opportunity to perform HoLEP in one-day surgery. Furthermore, there is a willingness of the French Ministry of Health to develop this kind of management. A pilot study was performed in 50 selected patients to evaluate HoLEP feasibility in ambulatory surgery from June 2013 to April 2014. The results were good with minimal morbidity and a high satisfaction rate, but excellent organisation is necessary, leaving no room for improvisation.