Clinical Study

Holmium Laser Enucleation of the Prostate: Modified Two-Lobe Technique versus Traditional Three-Lobe Technique—A Randomized Study

Table 1

Preoperative patients’ characteristics.

VariablesModified HoLEPTraditional HoLEP value

Age (yr)70.3 ± 7.171.9 ± 8.00.145
Prostate volume (cc)71.3 ± 10.972.0 ± 11.10.661
PSA (ng/ml)3.2 ± 1.513.3 ± 1.500.647
PVR (ml)126.2 ± 101.9139.9 ± 70.80.283
Qmax (ml/s)7.0 ± 0.876.9 ± 0.910.438
IPSS22.6 ± 2.0222.2 ± 2.110.182
QoL score4.7 ± 1.094.6 ± 1.070.523
Indwelling catheter7.2% (7/97)7.4% (7/94)0.951
IIEF
 Erectile function13.4 ± 6.713.0 ± 6.70.832
 Orgasmic function6.6 ± 3.65.5 ± 2.70.233
 Intercourse satisfaction4.9 ± 2.76.8 ± 4.40.060
 Overall satisfaction5.5 ± 3.74.6 ± 5.20.469

HoLEP = holmium laser enucleation of the prostate; PSA = prostate-specific antigen; PVR = postvoid residual urine volume; Qmax = maximum flow rate; IPSS = International Prostate Symptom Score; QoL = quality of life; IIEF = International Index of Erectile Function; t-test; Pearson’s chi-square test.