VIDEO ANSWER
HoLEP: prostate size, retreatment and tissue analysis
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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.
Editorial clarification based on the cited sources. It does not establish a new medical review of the video.
Original video description
Why I consider HoLEP superior, with data: it works for any prostate size (25 to over 500 g with the same technique); the retreatment rate is under 2% versus 15–20% for TURP; and you obtain tissue for analysis, so an incidental cancer is detected.
Subtitle text
Source: subtitles available on YouTube.
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. I have operated on prostates from 25 to 30 grams up to over 500 grams 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.