Comparison between prostatic enucleation using holmium laser and transurethral resection of the prostate in benign prostatic hyperplasia
DOI:
https://doi.org/10.62452/a211p230Keywords:
Benign prostatic hyperplasia, transurethral resection of the prostate, Holmium laser enucleation, HoLEPAbstract
Benign prostatic hyperplasia (BPH) is common in older men and is characterized by nonmalignant growth of the prostate gland, which can cause obstructive and irritative urinary symptoms. Currently, treatment has evolved from pharmacological options to minimally invasive surgical interventions such as transurethral resection of the prostate (TUR) and Holmium laser enucleation (HoLEP). The objective of this research is to analyze the principles of these surgical techniques and characterize their benefits and complications to facilitate decision making. An electronic search was carried out for scientific articles published from January 2019 to October 2024 in databases such as PubMed, Scopus, Web of Science and Scielo. TUR involves the removal of glandular tissue from the prostatic transition zone and is a safe procedure, considered the gold standard in treatment. For its part, HoLEP is less painful, with fewer side effects, reduction in hospital admissions and short stays, representing an economic benefit for countries with free health systems such as Ecuador. In conclusion, both TUR and HoLEP are effective and safe therapeutic alternatives for BPH, with good clinical response, with HoLEP being associated with less hospitalization; however, there are barriers such as medical costs that limit its continued use.
Downloads
References
Alarcón-Salvador, J. F. (2023) Resultados funcionales y complicaciones posteriores a procedimientos quirúrgicos transuretrales para el tratamiento de la obstrucción prostática benigna. Revista Mexicana de Urología, 83(1), 1-16. https://doi.org/10.48193/revistamexicanadeurologa.v83i1.950
Astudillo Sánchez, M. V., Reinoso Martínez, L. A., Veloz Espinoza, M. B., & Soria Barrionuevo, N. E. (2024). Hipertrofia prostática, diagnóstico por imagen y actualización en el tratamiento clínico/quirúrgico. Rev. Reciamuc: 8(2), 444-50. https://10.26820/reciamuc/8.(2).abril.2024.444-450
Bass, E., & Challacombe, B. (2024). HoLEP: a platinum standard for modern benign prostatic hyperplasia treatment. Trends in urology & mens Health. 15(4), 1-25. https://doi.org/10.1002/tre.969
Castañeda, F. A., Rueda, B., & Calama, J. J. A. (2020). Análisis de las complicaciones en el aprendizaje del HoLEP: revisión sistemática. Actas Urológicas Españolas, 44(1), 1-8. https://dialnet.unirioja.es/servlet/articulo?codigo=7211400
Chen, J., Dong, W., Gao, X., Li, X., Cheng, Z., Hai, B., & Pang, Z. (2022). A systematic review and meta-analysis of efficacy and safety comparing holmium laser enucleation of the prostate with transurethral resection of the prostate for patients with prostate volume less than 100 mL or 100 g. J Translational Andrology and Urology, 11(4). https://10.21037/tau-21-1005
Cruz-Ordoñez, S. X., Chein-Vázquez, M. F., Victorio Vargas, O. D., Cervantes-Palma, C., Lemus-Hernández, L. A., & Toledo-Díaz M. A. (2022). Comparación de los resultados funcionales post operatorios en enucleación prostática con láser holmio, fotovaporización prostática con láser verde y resección transuretral de próstata en el tratamiento de la hiperplasia prostática obstructiva. Rev Mex Urol., 82(3). https://doi.org/10.48193/revistamexicanadeurologa.v82i3.743
Di Capua Telesca, T. (2024). HOLEP: Enucleación de la Próstata con Láser de Holmio. Revista Venezolana de Urología, 59(1), 12-19. http://saber.ucv.ve/ojs/index.php/rev_rvuro/article/view/28305/144814493907
Faraon, B., Garces, J, Ahmad, S., Mahmoud, S., Danzinger, M., Shabsigh, R., Mikelinich, E.,& Carpo, B. (2024) The impact of the treatment of benign prostatic hyperplasia with lower urinary tract symptoms on quality of life, a scoping literature review aided by AI. Jou of Men´s Health, 20(7), 8-14. https://10.22514/jomh.2024.104
Fuschi, A., Asimakopoulos, A.D., Scalzo, S., Martoccia, A., Al Salhi, Y., Suraci, P.P., Carbone, F., Maggi, M., Bozzi, G., Zucchi, A., De Nunzio, C., Carbone, A., & Pastore, A. L. (2022). B-TURP versus HoLEP: Peri-Operative Outcomesand Complications in Frail Elderly (>75 y.o.) Patients:A Prospective Randomized Study. J Biomedicines, 10(3212). https://doi.org/10.3390/biomedicines10123212
Inamura, S., & Terada, N. (2024). Chronic inflammation in benign prostatic hyperplasia: Pathophysiology and treatment options. Int. Jou Uro., 31, 968-74. https://10.1111/iju.15518
Lerner, L. B., McVary, K. T., Barry, M. J., Bixler, B. R., Dahm, P., Das, A. K., Gandhi, M., Kaplan, S., Kohler, T., Martin, L., Parsons, J. K., Roehrborn, C. G., & Stoffel, J. (2021). Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA GUIDELINE PART I—Initial Work-up and Medical Management. Journal of Urology, 206(4), 806–17. https://0.1097/JU.0000000000002183
Loayza Aguilar, R. M. (2021). Características clínicas y epidemiológicas en pacientes con cáncer de próstata atendidos en el servicio de urología del hospital regional Lambayeque 2018-2019. (Trabajo de grado). Universidad Nacional Pedro Ruiz Gallo.
López Angulo, D. E, Castro Rivera, E. C., & Alfaro Arguedas, H. D. (2023). Revisión Actual del Diagnóstico, tratamiento médico y quirúrgico en Hiperplasia Prostática Benigna: Current review of the diagnosis, medical and surgical treatment of benign prostatic hyperplasia. Revista latinoamericana de Ciencias Sociales y Humanidades REDILAT, 4(2), 155-67. https://doi.org/10.56712/latam.v4i2.756
López Camarena , L. M., & Gutiérrez Sánchez , P. L. (2024). Enucleación Prostática con Láser de Holmio, HoLEP: Revisión y Actualización. Ciencia Latina Revista Científica Multidisciplinar, 8(4), 3659-3674. https://doi.org/10.37811/cl_rcm.v8i4.12598
López-Ramos, H. L. (2022). Guía de Manejo hiperplasia prostática benigna (SCU 2021). Revista Urología Colombiana, 30(02), 145–152. https://doi.org/10.1055/s-0041-1731669
Ortiz-Colorado, M. E., Bueno-Ordóñez, S., & Urquiaga-Melquiades, D. T. (2021). Características clínicas y epidemiológicas de pacientes con hiperplasia prostática benigna sintomática en el Hospital Regional Docente de Cajamarca, 2018”. Revista Médica de Trujillo, 16(2). http://dx.doi.org/10.17268/rmt.2021.v16i02.05
Pérez-Londoño, A., Abello, A., Gershman, B., & Korets, R. (2024). How I do it: Teaching holmium laser Enucleation of the prostate (HoLEP). The Canadian Journal of Urology: 31(2), 11848-11854. https://www.canjurol.com/html/free-articles/2024/31-02/CJU_V31_I2_10_FREE_DrLondo%C3%B1o.pdf
Quimis Peña, A. E., Vargas Prias, L.A., Izquierdo Basantes, J. A., & Rodríguez Plaza, G.R. (2019). Factores predominantes de hiperplasias prostática benigna. Rev. Reciamuc, 3(2), 318-341. https://10.26820/reciamuc/3.(2).abril.2019.318-341
Sandoval Gutiérrez, J. A., Fonseca Andrade, J. E., Bautista Frausto, J. H., Mora Vásquez, C. A. (2022). Hiperplasia prostática Benigna: Artículo de revisión. Rev Ciencia Latina revista Multidisciplinar, 6(2). 434-50. https://doi.org/10.37811/cl_rcm.v6i2.1893
Trucco Brito, C. A., Bassa Moyano, J. C., Brusoni Costolla, S., Padilla Pérez, O., & Domínguez Cruzat, J. (2022). Tratamiento quirúrgico de la hiperplasia prostática benigna: comparación entre enucleación láser, resección transuretral y adenectomía abierta. Revista de Cirugía, 74(2). 139-48. https://dx.doi.org/10.35687&s2452-454920220021323
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Scarleth Nayeli Castillo-Trujillo, Andrea Elizabeth Yanangomez-Benavides (Autor/a)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who publish in Revista Metropolitana de Ciencias Aplicadas (REMCA), agree to the following terms:
1. Copyright
Authors retain unrestricted copyright to their work. Authors grant the journal the right of first publication. To this end, they assign the journal non-exclusive exploitation rights (reproduction, distribution, public communication, and transformation). Authors may enter into additional agreements for the non-exclusive distribution of the version of the work published in the journal, provided that acknowledgment of its initial publication in this journal is given.
© The authors.
2. License
The articles are published in the journal under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0). The terms can be found at: https://creativecommons.org/licenses/by-nc-sa/4.0/deed.en
This license allows:
- Sharing: Copying and redistributing the material in any medium or format.
- Adapting: Remixing, transforming, and building upon the material.
Under the following terms:
- Attribution: You must give appropriate credit, provide a link to the license, and indicate if any changes were made. You may do this in any reasonable manner, but not in any way that suggests the licensor endorses or sponsors your use.
- NonCommercial: You may not use the material for commercial purposes.
- ShareAlike: If you remix, transform, or build upon the material, you must distribute your creation under the same license as the original work.
There are no additional restrictions. You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
