HOLMIUM LASER ENUCLEATION OF THE PROSTATE (HOLEP) COMBINED WITH TRANSURETHRAL TISSUE MORCELLATION - AN UPDATE ON THE EARLY CLINICAL-EXPERIENCE

The preliminary experience with 64 patients who have undergone HoLEP c ombined with intravesical morcellation is presented. The mean preopera tive 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 A ssociation 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 vir tually any size to be safely treated transurethrally, and a complete a natomic enucleation of the prostatic adenoma is achieved.