Table 35: Postoperative and Long Term Complications. Holmium Laser Enucleation of the Prostate Versus TURP.
| RCT | Urinary complications | Sexual dysfunction | Reoperation N (%) | Mortality N (%) | |||
|---|---|---|---|---|---|---|---|
| Urinary retention N (%) | Bladder neck/urethral stricture N (%) |
Incontinence N (%) | Impotence N (%) | Retrograde ejaculation N (%) | |||
| Rigatti et al. 2006 (72) HoLEP TURP |
Recatheterization 3 (5.3) 1 (2.2) |
2 (3.8) 4 (7.4) |
Transitory Urge incontinence HoLEP: 25 (44) TURP: 17 (38.6) Stress incontinence HoLEP: 1 (1.7) TURP: 1 (2.2) |
NR | NR | NR | NR |
| Gupta et al. 2006 (55) HoLEP TURP |
Recatheterization 2 3 P =.62 Between 3 arms |
1 2 |
1 1 |
NR | NR | NR | 0 1 (Pneumonia) |
| Kuntz et al. 2004 (39) HoLEP TURP |
0 5 (5) P =.06 |
6 (6.4) 2 (2.2) P =.62 |
Stress incontinence 1 (1.1) 1 (1.1) NS |
10 (11.2) 9 (10.5) P =NR |
66 (74) 61 (70.3) P =NR |
NR | 0 0 |
| Tan et al. 2003 (40) HoLEP TURP |
Recatheterization 5 4 |
1 3 |
15 (48%) 11 33% |
NR | NR | 0 2 |
1 (preoperation) 1 (cardio.) |
HoLEP refers to holmium laser enucleation of the prostate; NR, not reported; TURP, transurethral resection of the prostate