Assessing peri-operative antibiotic administration practices amongst urologic surgeons performing holmium laser enucleation of the prostate worldwide

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Holmium Laser Enucleation of the Prostate (HoLEP) is underutilized, comprising less than 5% of BPH procedures due to its steep learning curve.
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The AUA recommends a single dose of antibiotic prophylaxis for HoLEP to reduce the risk of urinary tract infections and sepsis.
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Survey results indicated that 95.7% of urologists would prescribe a single-dose antibiotic for patients without catheterization.
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Surgeons' practice setting significantly influenced antibiotic prescribing, with private practice surgeons more likely to prescribe post-operative antibiotics.
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For patients with a positive preoperative urine culture, all urologists administered antibiotics, with treatment durations varying from three to fourteen days.

World Journal Of Urology

by Seyed Mohammad Mohaghegh Poor, Hafsa Asif, Darion Denis-Diaz, Eric Riedinger, Tasha Posid, Maxwell Newton, Michael Sourial, Mark Assmus, Amy Krambeck, Bodo Knudsen, Matthew Lee
March 13, 2025

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