Outcomes of holmium laser enucleation of the prostate in men with a history of prostatitis: a retrospective study
Background: Prostatitis can be challenging to treat. In refractory cases, prostatitis can be treated surgically with transurethral resection. Objectives: To examine the safety and efficacy of holmium laser enucleation of the prostate (HoLEP) as treatment in patients with prostatitis. Design and meth...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2025-05-01
|
| Series: | Therapeutic Advances in Urology |
| Online Access: | https://doi.org/10.1177/17562872251338430 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849725630758780928 |
|---|---|
| author | Meera Bhanu Ganesh Perry Xu Nicholas Dean Kyle Tsai Jamie Michael Alyssa McDonald Devyn Taylor Coskey Nabila Khondakar Allaa Fadl-Alla Amy Elizabeth Krambeck |
| author_facet | Meera Bhanu Ganesh Perry Xu Nicholas Dean Kyle Tsai Jamie Michael Alyssa McDonald Devyn Taylor Coskey Nabila Khondakar Allaa Fadl-Alla Amy Elizabeth Krambeck |
| author_sort | Meera Bhanu Ganesh |
| collection | DOAJ |
| description | Background: Prostatitis can be challenging to treat. In refractory cases, prostatitis can be treated surgically with transurethral resection. Objectives: To examine the safety and efficacy of holmium laser enucleation of the prostate (HoLEP) as treatment in patients with prostatitis. Design and methods: Patients who underwent HoLEP at a single center between January 2021 and August 2023 were retrospectively reviewed. Preoperative, intraoperative, and postoperative parameters were collected and analyzed. Patients with an ICD-10 diagnosis of prostatitis were identified and contacted postoperatively to evaluate for recurrent symptoms. Statistical significance was defined as p < 0.05. Results: We identified 918 patients, of whom 26 (2.8%) had a diagnosis of prostatitis. There were no differences in baseline characteristics between patients with and without prostatitis. Patients with prostatitis were less likely to have a history of a neurologic disorder ( p = 0.035), less likely to be catheter-dependent ( p = 0.005), and less likely to have a preoperative positive urine culture ( p = 0.040). There were no significant differences in intraoperative and postoperative parameters between the two groups. There were 23/26 (88.5%) patients with follow-up. There were no episodes of recurrent prostatitis and one episode of UTI after surgery, with a mean follow-up of 19.39 months (range: 7.45–30.19, SD: 7.38). Conclusion: Prostatitis patients undergoing HoLEP had comparable safety and efficacy profiles to those who did not have prostatitis. On follow-up, 100% of patients with prostatitis did not experience recurrent prostatitis, suggesting that HoLEP may have a role in the management of prostatitis in the presence of benign prostatic enlargement. |
| format | Article |
| id | doaj-art-6b3e5c814d6d4d3a82f1243f08d87b29 |
| institution | DOAJ |
| issn | 1756-2880 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Urology |
| spelling | doaj-art-6b3e5c814d6d4d3a82f1243f08d87b292025-08-20T03:10:25ZengSAGE PublishingTherapeutic Advances in Urology1756-28802025-05-011710.1177/17562872251338430Outcomes of holmium laser enucleation of the prostate in men with a history of prostatitis: a retrospective studyMeera Bhanu GaneshPerry XuNicholas DeanKyle TsaiJamie MichaelAlyssa McDonaldDevyn Taylor CoskeyNabila KhondakarAllaa Fadl-AllaAmy Elizabeth KrambeckBackground: Prostatitis can be challenging to treat. In refractory cases, prostatitis can be treated surgically with transurethral resection. Objectives: To examine the safety and efficacy of holmium laser enucleation of the prostate (HoLEP) as treatment in patients with prostatitis. Design and methods: Patients who underwent HoLEP at a single center between January 2021 and August 2023 were retrospectively reviewed. Preoperative, intraoperative, and postoperative parameters were collected and analyzed. Patients with an ICD-10 diagnosis of prostatitis were identified and contacted postoperatively to evaluate for recurrent symptoms. Statistical significance was defined as p < 0.05. Results: We identified 918 patients, of whom 26 (2.8%) had a diagnosis of prostatitis. There were no differences in baseline characteristics between patients with and without prostatitis. Patients with prostatitis were less likely to have a history of a neurologic disorder ( p = 0.035), less likely to be catheter-dependent ( p = 0.005), and less likely to have a preoperative positive urine culture ( p = 0.040). There were no significant differences in intraoperative and postoperative parameters between the two groups. There were 23/26 (88.5%) patients with follow-up. There were no episodes of recurrent prostatitis and one episode of UTI after surgery, with a mean follow-up of 19.39 months (range: 7.45–30.19, SD: 7.38). Conclusion: Prostatitis patients undergoing HoLEP had comparable safety and efficacy profiles to those who did not have prostatitis. On follow-up, 100% of patients with prostatitis did not experience recurrent prostatitis, suggesting that HoLEP may have a role in the management of prostatitis in the presence of benign prostatic enlargement.https://doi.org/10.1177/17562872251338430 |
| spellingShingle | Meera Bhanu Ganesh Perry Xu Nicholas Dean Kyle Tsai Jamie Michael Alyssa McDonald Devyn Taylor Coskey Nabila Khondakar Allaa Fadl-Alla Amy Elizabeth Krambeck Outcomes of holmium laser enucleation of the prostate in men with a history of prostatitis: a retrospective study Therapeutic Advances in Urology |
| title | Outcomes of holmium laser enucleation of the prostate in men with a history of prostatitis: a retrospective study |
| title_full | Outcomes of holmium laser enucleation of the prostate in men with a history of prostatitis: a retrospective study |
| title_fullStr | Outcomes of holmium laser enucleation of the prostate in men with a history of prostatitis: a retrospective study |
| title_full_unstemmed | Outcomes of holmium laser enucleation of the prostate in men with a history of prostatitis: a retrospective study |
| title_short | Outcomes of holmium laser enucleation of the prostate in men with a history of prostatitis: a retrospective study |
| title_sort | outcomes of holmium laser enucleation of the prostate in men with a history of prostatitis a retrospective study |
| url | https://doi.org/10.1177/17562872251338430 |
| work_keys_str_mv | AT meerabhanuganesh outcomesofholmiumlaserenucleationoftheprostateinmenwithahistoryofprostatitisaretrospectivestudy AT perryxu outcomesofholmiumlaserenucleationoftheprostateinmenwithahistoryofprostatitisaretrospectivestudy AT nicholasdean outcomesofholmiumlaserenucleationoftheprostateinmenwithahistoryofprostatitisaretrospectivestudy AT kyletsai outcomesofholmiumlaserenucleationoftheprostateinmenwithahistoryofprostatitisaretrospectivestudy AT jamiemichael outcomesofholmiumlaserenucleationoftheprostateinmenwithahistoryofprostatitisaretrospectivestudy AT alyssamcdonald outcomesofholmiumlaserenucleationoftheprostateinmenwithahistoryofprostatitisaretrospectivestudy AT devyntaylorcoskey outcomesofholmiumlaserenucleationoftheprostateinmenwithahistoryofprostatitisaretrospectivestudy AT nabilakhondakar outcomesofholmiumlaserenucleationoftheprostateinmenwithahistoryofprostatitisaretrospectivestudy AT allaafadlalla outcomesofholmiumlaserenucleationoftheprostateinmenwithahistoryofprostatitisaretrospectivestudy AT amyelizabethkrambeck outcomesofholmiumlaserenucleationoftheprostateinmenwithahistoryofprostatitisaretrospectivestudy |