Which is better HoLEP or TURP?

HoLEP was significantly superior to TURP in terms of both Qmax and IPSS at 1-year postoperative follow-up visits. Furthermore, HoLEP patients benefited from less intraoperative bleeding, a shorter catheterization time, shorter hospital stays, and lower transfusion rates.

When is TURP better than HoLEP?

However, TURP is also associated with a high incidence of complications, like bleeding or TUR syndrome and is unsuitable for extremely large prostates. Relatively, HoLEP has the benefit of less blood loss, shorter catheter and hospital time and is suitable for almost all size of prostates.

What is the best surgery for enlarged prostate?

The usual 'gold standard' surgery for enlarged prostate is transurethral resection of the prostate (TURP). TURP involves removing part of the prostate gland using a device passed through the urethra.

What is the best surgery for enlarged prostate 2021?

Several surgery options are also available, including transurethral resection of the prostate (TURP), which is considered the gold standard for treatment of BPH.

What procedure is better than TURP?

A prostatic urethral lift (also known as a UroLift) is recommended as an alternative to having a TURP or HoLEP. A surgeon inserts implants that hold the enlarged prostate away from the urethra so that the urethra is not blocked. This helps to relieve symptoms like pain or difficulty when peeing.

Treating BPH Comparing HoLEP, Rezum, and UroLift

What is the safest surgery for an enlarged prostate?

TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective.

What is the least invasive prostate surgery?

The transurethral needle ablation (TUNA) is a minimally invasive procedure to treat benign prostatic hyperplasia (BPH). It uses radiofrequency waves to heat and destroy tissue of the enlarged prostate.

Is HoLEP surgery painful?

The HoLEP procedure is consistently superior compared to other treatments for benign prostate enlargement. HoLEP can treat any size prostate gland and is so effective that retreatment rates are less than two percent. It leads to fast symptom relief with limited swelling and minimal to no pain when voiding.

What is the latest procedure for enlarged prostate?

The UroLift System is a straightforward procedure that utilizes tiny implants to lift and hold the enlarged prostate tissue out of the way so it no longer blocks the urethra.

What is the success rate of TURP surgery?

Transurethral resection of the prostate (TURP), on the other hand, is still considered the gold standard surgical treatment strategy for BPH and has been for decades. It improves obstructive voiding symptoms and urinary flow rate, with success rates ranging from 85 to 90% [6].

How long does it take to recover from Holep surgery?

Most patients need at least one to two weeks of rest at home before they can return to work. Some patients may require three to four weeks of recovery time before going back to work, especially if the job is physically strenuous.

Is the TURP operation safe?

In most cases, TURP is a safe procedure and the risk of serious complications is very small.

Can prostate enlarged again after TURP?

Approximately 15 to 20% of patients who undergo transurethral resection of the prostate for benign prostatic hyperplasia have persistent or recurrent voiding symptoms requiring further therapy.

Is HoLEP safer than TURP?

HoLEP was significantly superior to TURP in terms of both Qmax and IPSS at 1-year postoperative follow-up visits. Furthermore, HoLEP patients benefited from less intraoperative bleeding, a shorter catheterization time, shorter hospital stays, and lower transfusion rates.

How much of the prostate is removed during HoLEP?

HoLEP is similar to open prostate surgery but requires no incisions. HoLEP removes the entire portion of the prostate that can block urine flow. It can be an option to treat a severely enlarged prostate.

Is TURP still the gold standard?

Conclusion: Transurethral resection of the prostate is still the method of choice for surgical management of bladder outlet obstruction, and it remains as the gold standard.

What is the latest treatment for enlarged prostate 2022?

Entadfi is expected to be available in early 2022. Credit: Getty Images. The Food and Drug Administration (FDA) has approved Entadfi (finasteride and tadalafil) for the treatment of the signs and symptoms of benign prostatic hyperplasia (BPH) in men with an enlarged prostate for up to 26 weeks.

Which is better TURP or Rezum?

Rezum has many advantages over medical treatment or TURP, including lower rates of sexual dysfunction or bleeding. Rezum water vapor thermal therapy is approved for treating LUTS in patients with BPH, particularly in prostates less than 80cc. It has the advantage of preserving sexual function, compared to TURP.

How can I reduce my enlarged prostate without surgery?

You can take alpha-blockers such as terazosin (Hytrin) or tamsulosin (Flomax) to help relax the prostate and bladder muscles. You can also take dutasteride (Avodart) or finasteride (Proscar), a different kind of medication for reducing BPH symptoms. These block the hormones that cause the prostate to grow.

How long will HoLEP last?

Regarding durability, HoLEP is far and away the most durable minimally invasive procedure for the treatment of BPH. Several studies have followed HoLEP patients for between 5 and 10 years, with a re-operation rate of less than 1%.

Is HoLEP a major surgery?

HoLEP (Holmium laser enucleation of the prostate) is a minimally invasive surgical treatment for men with any degree of prostate enlargement who have urinary symptoms, and men who are suffering from retention of urine, repeated urine infections or bleeding due to their enlarged prostate.

Does HoLEP damage the urethra?

However, HoLEP does carry a risk of postoperative complications, including urethral stricture, incontinence, erectile dysfunction (ED), retrograde ejaculation, and bladder neck contraction. The reported incidence of urethral stricture after HoLEP is 1.2–7.3%.

Is HoLEP the same as green light?

Results/conclusions: PVP and HoLEP are very different laser techniques. An important difference between the Greenlight laser and holmium and thulium is that its only urological application is prostate ablation. HoLEP is the most advanced laser technique currently available.

Which is the most common type of prostate surgery?

Transurethral resection of the prostate (TURP).

This is the most common surgery to treat BPH. Your doctor removes portions of the prostate that are affecting your urine flow.

Can an enlarged prostate ever shrink?

Over several months, the body's immune system reabsorbs the dead prostate tissue and replaces it with scar tissue. The scar tissue slowly contracts, resulting in shrinkage of the prostate. Over six months, the prostate will shrink by 20 to 40 percent, resulting in improved and less frequent urination.