Clinical evaluation of the different approach of holmium laser enucleation of the prostate（HoLEP）：Comparison of retrograde dissection HoLEP and anteroposterior dissection HoLEP

Abstract

  Between June 2006 and May 2011, we performed holmium laser enucleation of the prostate （HoLEP）on 90 patients；of these, 60 underwent enucleation with retrograde dissection HoLEP（group A）, and 30 underwent enucleation with anteroposterior dissection HoLEP（group B）. We evaluated and compared the surgical index, functional outcome, and postoperative complications between the 2 groups. Total operation time was significantly shorter for group B than for group A. The post-operative functional outcome was significantly improved in both groups. The 3-month post-operative incidence rate of transient stress urinary incontinence was significantly higher in group A than in group B. Therefore, anteroposterior dissection HoLEP may be an effective and normalized procedure to reduce the postoperative incidence rate of transient stress urinary incontinence.