Holmium laser enucleation (HOLEP) has became a standard of treatment of large prostates that indicates surgery. HOLEP is widely used nowadays. Many settings are used but no optimal setting was world wide adopted. The aim of this trial is to assess the Low-power Holmium laser enucleation of the prostate (LP-HoLEP)and compare to high-power (HP-HoLEP) for enucleation efficiency pertaining to the advantages of lower cost and minimal postoperative dysuria, storage symptoms, and negative sexual impact.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
HoLEP will be performed using 100W Versapulse, Luminis Inc., with 2J/25Hz for LP-HoLEP and 2J/50Hz for HP-HoLEP.
Urology department - AlAzhar university
Cairo, Egypt
RECRUITINGEnucleation Efficiency
Enucleated weight/min will be evaluated.
Time frame: 3 hours
Dysuria will be assessed by dysuria visual analog scale
burning micturation after the procedure. Dysuria will be assessed by dysuria visual analog scale
Time frame: 2 weeks
The complications of both techniques
The complications will be classified according to the modified Clavien classification system.
Time frame: 3 months
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