Table 33: Objective Measures of Effectiveness. Holmium Laser Enucleation of the Prostate Versus TURP.
Study, Year | Peak urinary flow (Qmax), Mean (SD), mL/s | Postvoid residual urine, Mean (SD), mL | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Baseline | 3 months | 6 months | 1 year | > 1 year | Baseline | 3 months | 6 months | 1 year | > 1 year | |
Rigatti et al. 2006 (72) HoLEP TURP |
8.2 (3.2) 7.8 (3.6) P = .61 |
NR | 23.1 (8.6) 26.5 (15.5) P = .007 |
25.1 (7.2) 24.7 (10) P = .25 |
NR | NR | NR | NR | NR | NR |
Gupta et al. 2006 (55) HoLEP TURP |
5.15 (4.4) 4.5 (4.7) P > .05 |
NR | 23.1 (1.2) 20.7 (1.32) P > .05 |
25.1 (1.06) 23.7 (1.58) P > .05 |
NR | 112 (155.9) 84 (129.7) P > .05 |
NR | <20 <20 |
<20 <20 |
NR |
Kuntz et al. 2004 (39) HoLEP TURP |
4.9 (3.8) 5.9 (3.9) P = .08 |
NR | 25.1 (6.9) 25.1 (9.4) P = .72 |
27.9 (9.9) 27.7 (12.2) P = .76 |
NR | 237 (163) 216 (177) P = .08 |
NR | 4.8 (12.5) 16.7 (16.9) P < .0001 |
5.3 (15.3) 26.6 (60.4) P < .0001 |
NR |
Tan et al. 2003 (40) HoLEP TURP |
8.4 (0.5) 8.3 (0.4) P > .05 |
24.2 (1.7) 18.9 (1.9) P > .05 |
26.4 (1.8) 20.8 (2.3) P > .05 |
21.8 (2.1) 18.4 (2.8) P > .05 |
NR | 113.5 (15.5) 126.7 (21.3) P > .05 |
NR | 33.7 (5.5) 51.8 (14.5) P > .05 |
NR | NR |
HoLEP refers to holmium laser enucleation of the prostate; NR, not reported; Qmax, maximum urinary flow; SD, standard deviation; TURP, transurethral resection of the prostate