Rise in Surgical Procedures Following Adoption of Holmium Laser Enucleation for Prostate Treatment

Introduction of holmium laser enucleation of the prostate (HoLEP) leads to a significant rise in urological surgical procedures, enhancing treatment capacity for benign prostatic hyperplasia.
Recent research indicates that integrating holmium laser enucleation of the prostate (HoLEP) into urology practice significantly boosts surgical case volume for benign prostatic hyperplasia (BPH). A study published in the Journal of Biological Methods on August 20 analyzed the impact of HoLEP's introduction over a five-year period, reviewing electronic health records of 4,390 patients across 30 months before and after its implementation.
Led by Dr. Ankur U. Choksi from Yale School of Medicine, the retrospective study observed no significant change in patient travel distance or residence distribution, suggesting consistent access to care. Notably, the number of surgeries increased markedly from 355 to 1,018 cases, coinciding with the adoption of HoLEP. The study also found that prostate sizes among patients undergoing HoLEP were comparable regardless of geographic location.
The findings highlight the potential benefits of HoLEP for urologists seeking to expand their surgical volume and efficiently treat patients with larger prostates. The authors emphasize that implementing HoLEP can enhance the capacity to serve more patients effectively within existing practice models.
This evidence supports wider adoption of HoLEP in urology practices aiming to improve treatment outcomes and increase procedural throughput. For more detailed information, refer to the primary publication: Ankur U. Choksi et al, "Shifts in clinical practice and patient demographics following the introduction of holmium laser enucleation for benign prostatic hyperplasia in a general urology clinic," Journal of Biological Methods, 2025. DOI: 10.14440/jbm.2025.0002.
Source: https://medicalxpress.com/news/2025-09-surgical-volume-introduction-holmium-laser.html
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