[Holmium laser enucleation in benign prostatic hyperplasia]
Klappenbach R, Augustovski F, Pichon-Riviere A, García Martí S, Alcaraz A, Bardach A, Ciapponi A.
Record ID 32018001544
Spanish
Original Title:
Láser de holmio para hiperplasia prostática benigna
Authors' recommendations:
Moderate-quality evidence suggests that, when compared with transurethral resection in patients with benign prostatic hyperplasia with small to medium size prostate, Holmium Laser Enucleation (HoLEP) does not show differences in symptomatology and shows minor benefits in hospital stay, catheterization time and flowmetry after 12 months of follow up.
Moderate-quality evidence suggests that, when compared with open prostatectomy in patients with benign prostatic hyperplasia with large prostate, HoLEP shows minor benefits at short term in hospital stay, catheterization time and transfusion requirements, with no differences in outcomes related to symptomatology and complications at long term. Very low-quality evidence does not allow drawing conclusions about the efficacy and safety of HoLEP when compared with laparoscopic or robotic assisted prostatectomy in this subgroup of patients.
The clinical practice guidelines recommend -and most of high-income countries do cover- the use of HoLEP as an alternative for benign prostatic hyperplasia treatment, regardless of the prostate size.
No economic evaluations conducted in the region for this technology, in these indications, have been found.
Details
Project Status:
Completed
Year Published:
2019
URL for published report:
https://www.iecs.org.ar/home-ets/
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Prostatectomy
- Prostatic Hyperplasia
- Laser Therapy
- Lasers, Solid-State
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.