Abstract：Objective To study the clinical advantages and efficacy of holmium laser enucleation of the prostate for benign prostatic hyperplasia. Methods In this study, 117 cases of benign prostatic hyperplasia were treated with holmium laser enucleation of the prostate in Shanxi Provincial Corps Hospital between November 2015 and February 2018. Intraoperative safety, preoperative and postoperative maximal urinary flow rate (Qmax) and the International Prostate Symptom Score (IPSS) were observed. Results The duration of surgery ranged from 30 to 150 minutes, with an average of (106.0±30.5) minutes. The duration of bladder irrigation was 12 to 48 hours, with an average of (36.0±9.8)hours. The urinary catheter was left for 3 to 8 days after operation, with an average of (4.0±1.7) days. The length of hospital stay was 5 to 14 days, with an average of (8.0±2.8) days. At 3 months after surgery, IPSS decreased from(23.2±6.4)to(5.1±2.5), and Qmax increased from (4.4±2.3)ml/s before surgery to (19.5±7.5)ml/s. No serious complications occurred. Conclusions HoLEP is safe in the treatment of BPH without serious complications. It is the right approach for elderly and high-risk patients with satisfactory results.
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2020, Vol. 31 
