Initial experience with HoLEP. Case series

Initial experience with HoLEP. Case series

Alfredo Sánchez-Bermeo 1, Christian Esquivel-López 1, Alessandri R. Espinoza 2, Michelle Ramón-Quezada 1, Geovanna Jiménez-Mejía 1, Xavier Palacios-Palacios 1

1 Servicio de Urología, Hospital Monte Sinaí, Cuenca, Ecuador; 2 Facultad de Ciencias de la Salud, Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador

*Correspondence: Alessandri R. Espinoza. Email: alessandrireg@hotmail.com

Abstract

Objective: To describe the first cases of holmium laser enucleation of the prostate (HoLEP) in patients with an enlarged prostatic gland in Ecuador.

Method: We prospectively evaluated 200 patients who underwent HoLEP and followed up to six months after surgery. The enucleation equipment varied, for the first 108 cases was with a HoL of 72 W short pulse with the parameters 3 J 24 Hz 72 W, the remaining 92 cases were done with Cyber laser Ho Qanta 100 w double pulse set up at 1.8 J 45 Hz 81 W.

Results: From the accounted patients and procedures, the average age was 69.27 years, the mean surgical time was 59.48 minutes, in 29.5% of the cases more than 80 grams of prostate tissue was extracted, 94% of the cases were a 1-day hospital stay and 98% of the patients had no postoperative complications and none required trans or postoperative blood transfusion.

Conclusion: HoLEP is an efficient, reliable, and replicable method independent of the prostatic size. The rate of complications, intravesical catheterization time, and hospital stay are lower.

Keywords: Prostatic growth; Holmium laser; Enucleation

Contents

English version not available. Please check the Spanish version.

⇄ Versión en Español
DOI not available
Add to Mendeley

Text only available in Spanish.

    PERMANYER

    Mallorca, 310
    08037 Barcelona (España)

    Arquímedes, 190 – Colonia Polanco
    Delegación Miguel Hidalgo
    11560 Ciudad de México (México)

    RECURRING LINKS
    CLOCKSS is a dak archive that ensures the long-term survival of web-based scholary publications, governed by and for its stakeholders.

    This journal adheres to the principles established by the Committee on Publication Ethics

    English versión
    DOI not available

    Editorial times

    The editorial process consists of 6 stages:

    1. Reception of the manuscript (indeterminate, depending on whether the author meets the requirements): its objective is to verify that the manuscript complies with the specifications of these instructions for authors and that the submitted documentation is complete.

    2. Initial editorial review (maximum 5 business days): its objective is to corroborate the relevance, timeliness, originality, and scientific contribution of the manuscript, as well as the methodological and statistical soundness of the study. At this time, it will be submitted to an electronic plagiarism detection system. Derived from this, a rejected opinion may be obtained, or it will be sent for review by peer researchers.

    3. Review by peer researchers (maximum 30 business days): the opinion of at least two experts in the area in question will be obtained, who will evaluate the technical and methodological aspects of the investigation.

    4. Editorial review (maximum 7 business days): its objective is to make a decision based on the opinion of peer reviewers. The opinion can be rejected, major changes, minor changes or accepted. In the case of major or minor changes, it will be submitted again for evaluation by the initial peer reviewers.

    5. Final edition (6 weeks): its objective is the technical and linguistic edition (and translation), layout of galleys, DOI assignment, and correction by the author.

    6. Advanced publication: All manuscripts will be published ahead of print on the journal’s website as soon as they complete the editing process, until they are incorporated into a final issue of the journal.