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HoLEP: prostate size, retreatment and tissue analysis
Dr. Fernando Gómez Sancha · ICUA
Dr. Fernando Gómez Sancha · YouTube
Language: English. Editorial classification in the patient catalog.
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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.
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Original title and description on YouTubeSource checked: 2026-10-04.
Available transcript · English
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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. 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.