Research Article

Outcomes of Top-Down Holmium Laser Enucleation of Prostate for Recurrent/Residual Benign Prostatic Hyperplasia: One-Year Follow-Up

Table 3

Outcomes at 1, 3, 6, and 12 months follow-up.

ParameterPost-TURP
Top-down HoLEP
n = 68
Nonrecurrent
Top-down HoLEP
n = 201
value

Outcomes at 1 month
 Number of patients, n (%)65/68 (95.6)192/201 (95.5)
 IPSS, median (range)6 (0–25)7 (0–25)0.24
 QoL, median (range)1 (0–6)2 (0–6)0.11
Qmax, median (range), mL/s24.1 (5.3–65)24 (5.8–73.3)0.90
 PVR, median (range), mL41 (0–400)46.5 (0–393)0.70
 Stress incontinence, n (%)5 (7.3)11 (5.5)0.59

Outcomes at 3 months
 Number of patients, n (%)63/68 (92.6)183/201 (91)
 IPSS, median (range)5 (0–23)4 (0.27)0.73
 QoL, median (range)1 (0–6)1 (0–6)0.08
Qmax, median (range), mL/s21.5 (3–47.3)21.7 (7.8–54.2)0.97
 PVR, median (range), mL56 (0–225)44 (0–400)0.88
 Stress incontinence, n (%)2 (2.9)3 (1.5)0.44
 % PSA reduction, median (range)88.5 (−67.1–97.9)87.4 (−27.3–98.9)0.63

Outcomes at 6 months
 Number of patients, n (%)61/68 (89.7)171/201 (85.1)
 IPSS, median (range)3.5 (0–17)4 (0–23)0.27
 QoL, median (range)0.5 (0–4)1 (0–6)0.68
Qmax, median (range), mL/s24.8 (13.4–47.8)23.7 (6.9–69)0.50
 PVR, median (range), mL38 (0–285)47 (0–480)0.80
 Stress incontinence, n (%)1 (1.5)2 (0.9)0.75

Outcomes at 12 months
 Number of patients, n (%)59/68 (86.8)168/201 (83.6)
 IPSS, median (range)2.5 (0–17)3 (0–17)0.65
 QoL, median (range)0.5 (0–3)0 (0–4)0.54
Qmax, median (range), mL/s28.3 (9.6–51.4)24.3 (5.2–65.4)0.82
 PVR, median (range), mL28.5 (0–185)36 (0–790)0.63
 Stress incontinence, n (%)1 (1.5)0 (0)0.09

n, number; IPSS, International Prostate Symptom Score; QoL, quality of life; Qmax, maximum flow rate; PVR, postvoid residual; PSA, prostate-specific antigen.