Page 5 - CUA2018 Abstracts - LUTS

Poster session 3: Male LUts/Men’s Health

lator (Karl Storz, Germany) were used. Prostate volume, resected prostatic (5%) developed clot retention few days following surgery, associated
weight, operative parameters (enucleation time, morcellation time, and with early heavy manual work, requiring readmission for clot evacuation.
intraoperative complications), and a one–month postoperative assessment The median postoperative peak flow rate (Qmax) was 21 ml/sec. Urge
of urinary continence and flow rate were recorded. and stress urinary incontinence happened in four (20%) and one (5%)
Results: The median patient age was 72.5 years (58–87). Thirteen patients patient, respectively.
(65%) required surgery due to refractory acute urine retention. Two Conclusions: Top–down HoLEP was a modification on the right pathway
patients (10%) previously underwent transurethral resection of the pros- and has promising results. In our case series, this technique was associated
tate (TURP). The median prostatic volume, resected prostatic weight, and with a markedly lower incontinence rate compared to the outcomes of
resected prostatic tissue percentage were 120 cc (90–243), 95 g (50–190), the original HoLEP. Larger and longer studies are needed to demonstrate
and 82% (53–92), respectively. The median enucleation and morcellation long–term durability of this technique.
times were 80.5 (50–110) and 17 (7–45) minutes, respectively, with a mor-
cellation rate of 5.4 g/min. No single patient required blood transfusion
and there were no recorded intraoperative complications. One patient

CUAJ • June 2018 • Volume 12(6Suppl2) S83