Preoperative predictors of enucleation time during en bloc ‘no-touch’ holmium laser enucleation of the prostate

• Published in: BMC urology Vol. 20; no. 1; pp. 1 - 185
• Main Authors: Lin, Chun-Hsuan, Wu, Wen-Jeng, Li, Ching-Chia, Wen, Sheng-Chen
• Format: Journal Article
• Language: English
• Published: London BioMed Central Ltd 11.11.2020; BioMed Central; BMC
• Subjects: Benign prostatic hyperplasia; Care and treatment; Catheters; Clinical trials; Efficiency; En bloc ‘no-touch’ enucleation; Enucleation; Enucleation time; Health aspects; Hematuria; Holmium laser enucleation of the prostate; Hyperplasia; Laser surgery; Lasers; Patients; Preoperative predictors; Prostate; Rare earth metal compounds; Regression analysis; Surgeons; Tactile stimuli; Tumors; Urinary tract; Urinary tract infections; Urology; Variables
• ISSN: 1471-2490; 1471-2490
• DOI: 10.1186/s12894-020-00758-4

Abstract Background To evaluate preoperative predictors of enucleation time during en bloc ‘no-touch’ holmium laser enucleation of the prostate (HoLEP) Methods We enrolled 135 patients with symptomatic benign prostatic hyperplasia (BPH) treated with en bloc ‘no-touch’ HoLEP from July 2017 to March 2019 by a single surgeon. Preoperative, perioperative, and postoperative clinical variables were examined. Stepwise linear regression was performed to determine clinical variables associated with enucleation times. Result The average (range) enucleation time was 46.1 (12–220) minutes, and the overall operation time was 71 (18–250) minutes. History of antiplatelet agents, history of urinary tract infection (UTI), and increasing specimen weight were each significantly associated with increasing enucleation time. No category IV complications were recorded, and all complications were evenly distributed among the groups according to the HoLEP specimen weight. Conclusion En bloc ‘no-touch’ HoLEP was found to be an efficient and reproducible surgical method for treating BPH. Prostatic gland size was significantly associated with increased enucleation times. Similarly, history of UTI and antiplatelet agents were correlated with increased operative time.