Safety and efficacy of concomitant holmium laser enucleation of the prostate with transurethral endoscopic management of symptomatic large bladder diverticulum: revisiting a historical technique in the modern era with literature review - Summary - MDSpire
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Safety and efficacy of concomitant holmium laser enucleation of the prostate with transurethral endoscopic management of symptomatic large bladder diverticulum: revisiting a historical technique in the modern era with literature review
To evaluate the outcomes of concomitant Holmium laser enucleation of the prostate (HoLEP) with transurethral management of symptomatic large bladder diverticulum (BD), focusing on functional and complication rates, and to review existing literature on transurethral BD management.
Key Findings:
Seven patients underwent C-HoLEP-TUBD, with one excluded due to incidental bladder tumor.
Functional outcomes evaluated using IPSS, Qmax, and PVR showed promising results, with significant improvements noted.
The combined approach demonstrated minimal complications and effective symptom relief.
Interpretation:
The study supports the safety and efficacy of combining HoLEP with transurethral management of large BD, suggesting a potential resurgence of this technique in contemporary urological practice, particularly for patients with complex presentations.
Limitations:
Small sample size with only six patients included in the final analysis.
Retrospective design limits the ability to establish causality, and potential biases may affect results.
Conclusion:
C-HoLEP-TUBD may offer a viable option for managing symptomatic large bladder diverticula in patients with BPO, warranting further investigation through larger, prospective studies.
