ArticlePloS one2017
Patient satisfaction after holmium laser enucleation of the prostate (HoLEP): A prospective cohort study.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04178811 (Holmium Laser Enucleation of Prostate in Management of Benign Prostatic Hyperplasia Patients With Predominant Voiding Versus Storage Lower Urinary Tract Symptoms), which is not on this map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Holmium Laser Enucleation of Prostate in Management of Benign Prostatic Hyperplasia Patients With Predominant Voiding Versus Storage Lower Urinary Tract Symptoms: A Comparative Retrospective Study
Who cites it
19 citing papers in PubMed.
- Efficacy and safety of low power holmium laser enucleation of the prostate: A prospective short- and medium-term single-blind randomized trial.Investigative and clinical urology · 2023Trial
- Virtual basket mode in HoLEP: reduced early dysuria and faster continence recovery without loss of efficacy.The Canadian journal of urology · 2026Article
- Holmium laser enucleation of the prostate (HoLEP): a narrative review of sexual side effects.Translational andrology and urology · 2026Review
- One-night catheter stay after Holmium laser enucleation of the prostate: a single-center comparative study.International urology and nephrology · 2026Article
- Predicting poor early voiding pattern after holep using maximum flow rate (Q-max) as an objective outcome.World journal of urology · 2025Article
- Relationship Between Prostate Size and Urinary Incontinence After Holmium Laser Enucleation of the Prostate: Prospective Registry-Based Patient Cohort Study Under Regular Follow-up Protocol.International neurourology journal · 2025Article
- Effect of holmium laser prostatectomy on surgical outcomes of primary bladder neck obstruction.BMC urology · 2025Article
- Holmium Laser Prostatectomy for Primary Bladder Neck Obstruction (PBNO): Comparative Efficacy and Safety Outcomes versus Benign Prostatic Hyperplasia (BPH).Journal of lasers in medical sciences · 2025Article
- Is hospitalization still necessary? A systematic review of outpatient HoLEP over the last decade.Central European journal of urology · 2025Review
- Clinical outcomes of holmium laser enucleation of the prostate: A large prospective registry-based patient cohort study under regular follow-up protocol.Investigative and clinical urology · 2024Article
- Patient reported outcome and quality of life measured by a simple questionnaire in patients with symptomatic benign prostate hyperplasia treated by holmium laser enucleation of the prostate (HoLEP).Frontiers in surgery · 2024Article
- Holmium laser enucleation of prostate in nonagenarians and octogenarians Impact of age and frailty on surgical outcomes.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023Article
- Outcome of Patients With Elevated Prostate-Specific Antigen and Lower Urinary Tract Symptoms Receiving Holmium Laser Enucleation of the Prostate.International neurourology journal · 2022Article
- Risk Factors for Transurethral Coagulation for Hemostasis During Holmium Laser Enucleation of the Prostate.International neurourology journal · 2022Article
- Understanding holmium laser enucleation of the prostate (HoLEP) recovery: Assessing patient expectations and understanding.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022Article
- Determination of Face and Content Validity of Cadaveric Model for Holmium Anatomic Endoscopic Enucleation of the Prostate Training: An ESUT AEEP Group Study.European urology open science · 2021Article
- Effects of Progressive Resistance Training on Post-Surgery Incontinence in Men with Prostate Cancer.Journal of clinical medicine · 2018Article
- Better timing for HoLEP: a retrospective analysis of patients treated with HoLEP over a 10-year period with a 1-year follow-up.Asian journal of andrologyArticle
- Stress Urinary Incontinence post-Holmium Laser Enucleation of the Prostate: a Single-Surgeon Experience.International braz j urol : official journal of the Brazilian Society of UrologyArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate patient satisfaction after holmium laser enucleation of the prostate (HoLEP) in a prospective study. SUBJECTS AND
methodsFrom May 2012 to December 2014, 397 patients underwent HoLEP by a single surgeon and enrolled in our prospective registry. Baseline data included age, PSA, transrectal ultrasonography, the international prostate symptom score (IPSS), and overactive bladder symptom score (OABSS). Subjective assessment of surgical outcomes was performed at 6 months postoperatively using self-administered questionnaires consisting of 'satisfaction with treatment question' (STQ), 'overall response assessment' (ORA), and 'willingness to undergo surgery question' (WSQ).
resultsA total of 331 patients (mean age 69.6±7.0 years) were included in the analysis. Mean total prostate volume was 69.5 (±42.2) ml. Mean preoperative IPSS score was 18.5 (±7.8). The STQ showed that most patients (91.8%) were satisfied after the surgery. Only 11 (3.3%) patients responded with 'dissatisfied', and no patients replied with 'very dissatisfied'. The WSQ showed that 311 (94.0%) patients were willing to undergo the surgery again if they had to reconsider the surgical decision. The ORA showed that all patients (99.4%) experienced an improvement. When compared with satisfied patients, neutral/dissatisfied patients had lower IPSS quality of life scores (2.7 vs. 0.9, p<0.001), higher IPSS voiding symptom scores (7.0 vs. 1.4, p<0.001), and more frequent episodes of urgency urinary incontinence in OABSS (1.0 vs. 0.3, p = 0.017) at 6 months postoperatively.
conclusionsThe overall level of satisfaction after HoLEP was high. The most common reason for dissatisfaction was the occurrence of urgency urinary incontinence after the surgery.
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