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Purpose <p>This study aims to evaluate the long-term outcomes of the novel “three horseshoe-like incision” (3-HSI) technique for holmium laser enucleation of the prostate (HoLEP) compared to the traditional three-lobe HoLEP method in treating benign prostatic hyperplasia (BPH).</p> Methods <p>A comparative study was conducted of 54 patients undergoing the 3-HSI technique and 27 patients treated with the three-lobe technique from November 2016 to June 2018. All surgeries were performed by a single experienced surgeon. Data were collected preoperatively, perioperatively, and during follow-up. Statistical analyses were conducted using the Wilcoxon rank-sum test and Fisher’s exact test, with significance set at <i>p</i> &lt; 0.05.</p> Results <p>Preoperative parameters showed no significant differences between groups, except for a higher symptom burden and medication use in the 3-HSI group. The 3-HSI technique revealed a significantly shorter perioperative operative duration (44.9 ± 43 vs. 60.1 ± 34&#xa0;min, <i>p</i> = 0.01). Hospital stay, catheterization period, and resected tissue weight were similar. Follow-up data revealed similar functional outcomes and patient satisfaction between groups, with no significant differences in complication rates.</p> Conclusion <p>The 3-HSI HoLEP technique demonstrates similar safety and efficacy to the traditional method, with the added benefit of shorter operative time. These findings support the 3-HSI technique as a viable and potentially superior option for BPH surgical intervention.</p> Trial registration <p>This trial has been registered in the German Clinical Trials Register DRKS-ID: FRKS005540.</p>

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Long-term follow-up of “three horse shoe-like incision (3-HSI) holmium laser enucleation of the prostate: outcomes and efficacy of a novel en-bloc technique for anatomic transurethral prostatectomy”

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月31日

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  • Maximilian Glienke,
  • MF von Bargen,
  • A Özkan,
  • D Sirtl,
  • C Gratzke,
  • A Miernik,
  • D Schoeb

摘要

Purpose

This study aims to evaluate the long-term outcomes of the novel “three horseshoe-like incision” (3-HSI) technique for holmium laser enucleation of the prostate (HoLEP) compared to the traditional three-lobe HoLEP method in treating benign prostatic hyperplasia (BPH).

Methods

A comparative study was conducted of 54 patients undergoing the 3-HSI technique and 27 patients treated with the three-lobe technique from November 2016 to June 2018. All surgeries were performed by a single experienced surgeon. Data were collected preoperatively, perioperatively, and during follow-up. Statistical analyses were conducted using the Wilcoxon rank-sum test and Fisher’s exact test, with significance set at p < 0.05.

Results

Preoperative parameters showed no significant differences between groups, except for a higher symptom burden and medication use in the 3-HSI group. The 3-HSI technique revealed a significantly shorter perioperative operative duration (44.9 ± 43 vs. 60.1 ± 34 min, p = 0.01). Hospital stay, catheterization period, and resected tissue weight were similar. Follow-up data revealed similar functional outcomes and patient satisfaction between groups, with no significant differences in complication rates.

Conclusion

The 3-HSI HoLEP technique demonstrates similar safety and efficacy to the traditional method, with the added benefit of shorter operative time. These findings support the 3-HSI technique as a viable and potentially superior option for BPH surgical intervention.

Trial registration

This trial has been registered in the German Clinical Trials Register DRKS-ID: FRKS005540.