A Systematic Review of Efficacy and Safety Following Holmium Laser Enucleation of Prostate and Transurethral Resection of Prostate for Benign Prostatic Hyperplasia

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Timothy Hartarto Sinaga
Fadlan Hafizh Harahap
Gracelya Esther Liwanto
Pahala Febrianto Rumahorbo
Daniel Setiawan Nathan
Amanda Putri Halim

Abstract

Background: This study aims to provide of efficacy and safety following holmium laser enucleation of prostate and transurethral resection on prostate for benign prostatic hyperplasia. Methods: Following PRISMA 2020 guidelines, this systematic review focused exclusively on full-text articles published in English between 2014 and 2024. Result: The study conducted a comprehensive review of over 100 publications sourced from reputable databases, including ScienceDirect, SagePub, and PubMed. Following an initial screening, eight publications were identified as warranting more in-depth analysis. Consequently, a thorough review of these selected studies was performed to ensure a detailed and rigorous evaluation. Conclusion: Efficacy and complications related to the short-term antithrombotic withdrawal before and after HoLEP also showed no significant differences. HoLEP may be a beneficial surgical technique for patients with BPH who are receiving antithrombotics.

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