Holmium laser enucleation of a 696 cc prostate (HoLEP): The largest reported in the literature

Shahed Borojeni; Fares Kosseifi; Axel Dallongeville; Xavier Durand

doi:10.1016/j.eucr.2022.102203

Holmium laser enucleation of a 696 cc prostate (HoLEP): The largest reported in the literature

Urol Case Rep. 2022 Aug 24:45:102203. doi: 10.1016/j.eucr.2022.102203. eCollection 2022 Nov.

Authors

Shahed Borojeni¹, Fares Kosseifi¹, Axel Dallongeville², Xavier Durand¹

Affiliations

¹ Department of Urology, Groupe Hospitalier Paris Saint-Joseph, Paris, France.
² Department of Radiology, Groupe Hospitalier Paris Saint-Joseph, Paris, France.

Abstract

Laser enucleation of the prostate represents the endoscopic response to open simple prostatectomy for the treatment of large benign prostatic hyperplasia (BPH) and an advanced technique for prostate surgery. To date, no more than 20 cases of giant prostatic hyperplasia (GPH) have been reported in the literature. We report a successful holmium laser enucleation of a 696 cc prostate in a 78 year-old patient on anticoagulation that was embolized prior to the intervention, urinary catheter was removed on the first day post-operatively and the patient was discharged home on the second day. This is considered the largest prostate treated endoscopically.

Keywords: BPH; BPH, benign prostatic hyperplasia (BPH); Endourology; GPH, giant prostatic hyperplasia; HoLEP; HoLEP, Holmium Laser Enucleation of the Prostate (HoLEP); IPSS, International Prostate Symptom Score; LUTS, Lower Urinary Tract Symptoms; MRI, Magnetic resonance imaging; Male LUTS; Prostate; World record.

Publication types

Case Reports