VIDEO ANSWER
Why HoLEP is superior: 3 facts
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How to interpret retreatment figures
Retreatment rates depend on what counts as another intervention and on the follow-up period. A percentage without a stated follow-up cannot be directly compared with rates at five or ten years.
At five years, Epic Cosmos (2026) reported surgical retreatment of 4.4% for HoLEP/ThuLEP combined and 7.1% for TURP. This is an unadjusted observational comparison between groups; it does not establish superiority for every patient.
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Why do I consider holmium laser enucleation to be superior? Because of the data. Firstly, it works for any prostate size. There is no limit. [music] I've operated on prostates from 25 to 30 g up to over 500 g using the same technique.
Secondly, the long-term re-treatment rate is less than 2% compare that to the 15 to 20% for transurethral resection. And thirdly, you obtain tissue for histological analysis. If there is an incidental cancer, we'll detect it.