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GreenLight laser: the 3 drawbacks

Name: TURP vs GreenLight Laser vs HoLEP: Which Surgery to Pick?
Uploaded: 2026-06-13T13:41:20Z
Duration: 337 s
Description: 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.

Dr. Fernando Gómez Sancha · Urologist · Medical Director of ICUA

Video published: 2026-06-13 · 0:26 · Excerpt 2:11–2:38

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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.

Carletti et al. Five-year Retreatment and Medication Restart Rates Following Benign Prostate Hyperplasia Treatments: A Nationwide Real-world Analysis Using Epic Cosmos. European Urology Focus. 2026;12(3):383–392.

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2:13 vaporizing, you don't get tissue for analysis. If there's a hidden cancer in that prostate, you won't detect it. And secondly, the re-treatment rate is significantly higher than with enucleation.

2:27 Several studies place it much higher than laser enucleation. And thirdly, in large prostates, vaporization is a very slow and inefficient process.