Abstract
Objective：We examined the treatment outcome following holmium laser enucleation of the prostate（HoLEP）in elderly patients.
Subjects and Methods：A total of 168 patients undergoing HoLEP between December 2005 and May 2010 were classified into two groups：those aged 75 or older（n=51）, aged 74 or younger（n=117）examined subjective symptoms, and urodynamic indices, and complications.
Results：Significant improvements of subjective symptoms and urodynamic indices were noted in both groups（p<0.001）. There were more complications observed in those aged 74 or younger, with 5 patients with urinary retention（4.3%）, 5 patients with epididymitis（4.3%）, and 4 patients with postoperative hemorrhage（3.4%）. There was no significant difference observed in the postoperative reduction of hemoglobin, rate of blood transfusion, or rate of complication by urinary incontinence between the two groups.
Conclusion：HoLEP was considered a useful and comparatively less invasive procedure in elderly patients with benign prostatic hyperplasia.
