HoLEP after prostate biopsy: does it have any impact?
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ORIGINAL ARTICLE
HoLEP after prostate biopsy: does it have any impact? Sercan Yılmaz1 · Engin Kaya1 · Eymen Gazel2 · Serdar Yalcın1 · Halil Cagrı Aybal3 · Mehmet Yılmaz4 · Onur Açıkgöz5 · Hakan Özdemir6 · Lutfi Tunc7 Received: 10 August 2020 / Accepted: 30 October 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Holmium laser enucleation of the prostate (HoLEP) has recently become the recommended treatment for prostate in all sizes in benign prostate hyperplasia surgery. A recent prostate biopsy performed prior to the HoLEP procedure can make surgeons concerned about the surgery. We aimed to investigate the per- and postoperative outcomes of the HoLEP procedure in patients who underwent prostate biopsy and to evaluate the most appropriate surgery time after biopsy. Methods The data of 160 patients who underwent HoLEP by a single surgeon between March 2017 and December 2019 were retrospectively reviewed. The patients were divided into two groups, Group 1 consisted of 80 patients without prostate biopsy and Group 2 consisted of 80 patients with prior prostate biopsy. All HOLEP procedures in group 2 were performed at least 2 weeks following biopsy. Per- and postoperative outcomes, complications were evaluated. Results No significant differences were found between groups in terms of by enucleation time, efficiency of laser, efficiency of enucleation, hospitalization time, and catheterization removal time. Only morcellation time was shorter in biopsy naïve patients. There were no statistical differences in postoperative outcomes. Previous prostate biopsy did not affect the continence status in our study group. There were not any Clavien grade 4 or higher complications. Urinary tract infection was higher in early post-biopsy period, there was no difference among the groups. Conclusıon Our study confirms that HoLEP is a safe and efficient surgical procedure for the patients with prior prostate biopsy. We believe that it can be safely performed 2nd week following prostate biopsy. Keywords HoLEP · Holmium laser · Prostate biopsy · Laser enucleation
* Mehmet Yılmaz [email protected]
1
Department of Urology, Gulhane Training and Research Hospital, Health Sciences University, Ankara, Turkey
Sercan Yılmaz [email protected]
2
Department of Urology, Acıbadem University Ankara Hospital, Ankara, Turkey
Engin Kaya [email protected]
3
Department of Urology, Kahramankazan Hamdi Eris State Hospital, Ankara, Turkey
Eymen Gazel [email protected]
4
Department of Urology, Zile State Hospital, Kahya Mahallesi Ata Caddesi No: 1 Zile, 60400 Tokat, Turkey
Serdar Yalcın [email protected]
5
Department of Urology, Pendik State Hospital, Istanbul, Turkey
Halil Cagrı Aybal [email protected]
6
Department of Radiology, Diason Ultrasonography Center, Ankara, Turkey
Onur Açıkgöz [email protected]
7
Department of Urology, Gazi University School of Medicine, Ankara, Turkey
Hakan Özdemir [email protected] Lutf
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