Holmium laser resection of the prostate

Objective: This review of holmium laser resection of the prostate (HoLRP) s ummarises the evolution, points of technique, results of clinical trials an d ongoing research concerning this procedure. Methods: Over 3 years of expe rience with holmium resection/enucleation in two institutions is reviewed. Several open studies and 2 randomised trials are presented and the results discussed. Current work with holmium enucleation of the prostate (HoLEP) in combination with intracavitary morcellation is also reported. Results: HoL RP results in fewer blood transfusions, less nursing contact time, less req uirement for bladder irrigation, and a shorter catheter time and hospital s tay than for patients treated with standard electrocautery resection of the prostate (TURP). Preliminary results suggest equivalent symptomatic relief , and relief of bladder outflow obstruction between the two procedures. Con clusions: Holmium prostatectomy continues to evolve. Preliminary experience suggests that it may be a viable alternative to TURF and appears to have s ome significant advantages. Newer techniques for tissue retrieval may signi ficantly decrease the operating time.