[Endoscopic enucleation of the prostate: Indication, technique and results].

Prog Urol

Service de chirurgie urologique, CHU de Bordeaux, 33000 Bordeaux, France. Electronic address:

Published: November 2017

Introduction: Laser prostatic enucleation is an increasingly popular technique among surgical urology. It is now gradually becoming a contender for gold standard surgical treatments, trans-urethral resection of the prostate (TURP) and open prostatectomy (OP).

Materials And Methods: This study is based on data collected from sources published between June 1995 and June 2017. Medline and Embase database have been used to research the following keywords: Holmium; Thulium; Greenlight; Laser; Prostate; Enucleation; Benign prostatic obstruction; Surgical technique.

Results: With HoLEP process, catheterization time varies from 17,7hrs to 46,4hrs with 2 to 2.5 hospitalization days. With ThuLEP process, catheterization time varies from 2 to 2.5 days with 2.15 to 6.5 hospitalization days. With GreenLEP process, catheterization and hospitalization times are both 2 days. IPSS score after a year varies from 12.7 to 19.1 points in different publications.

Conclusion: Convincing results of Laser prostatic enucleation make it a valid alternative to existing treatments.

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http://dx.doi.org/10.1016/j.purol.2017.09.001DOI Listing

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