Introducing holmium laser enucleation of the prostate (HoLEP) for benign prostatic hyperplasia will increase surgical quantity in urology practices, based on a examine revealed on-line Aug. 20 within the Journal of Organic Strategies.
Ankur U. Choksi, M.D., from Yale College of Medication in New Haven, Connecticut, and colleagues performed a retrospective evaluation of digital well being data 30 months earlier than and after introduction of HoLEP to look at the apply ramification of adoption.
Throughout a interval of 5 years, 4,390 distinctive sufferers had been seen: 2,052 earlier than and a pair of,338 after the introduction of HoLEP. The researchers discovered no statistically important change within the imply distance from sufferers’ residence ZIP codes to therapy heart (pre-HoLEP, 32.52 ± 152.42 miles; post-HoLEP, 29.65 ± 141.79 miles).
Amongst those that underwent HoLEP, sufferers residing in the identical county and people coming from totally different counties had comparable prostate sizes (96.42 ± 3.24 cc versus 104.52 ± 4.34 cc). There was a rise in surgical quantity from 355 to 1,018 circumstances, with a concordant enhance in different benign prostatic hyperplasia-related surgical procedures, marked by an inflection level at introduction of HoLEP.
“These findings support the need for HoLEP implementation among urologists, especially for those looking to increase surgical volume and treat individuals with larger prostates within their current patient population,” the authors write.
Extra data:
Ankur U. Choksi et al, Shifts in scientific apply and affected person demographics following the introduction of holmium laser enucleation for benign prostatic hyperplasia in a normal urology clinic, Journal of Organic Strategies (2025). DOI: 10.14440/jbm.2025.0002
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