TY - JOUR T1 - The complications of the HoLEP learning curve. A systematic review JO - Actas Urológicas Españolas (English Edition) T2 - AU - Agreda Castañeda,F. AU - Buisan Rueda,O. AU - Areal Calama,J.J. SN - 21735786 M3 - 10.1016/j.acuroe.2019.12.003 DO - 10.1016/j.acuroe.2019.12.003 UR - https://www.elsevier.es/en-revista-actas-urologicas-espanolas-english-392-articulo-the-complications-holep-learning-curve--S2173578619301428 AB - BackgroundHolmium laser enucleation of the prostate (HoLEP) could have better outcomes with decreased complication rates if compared to traditional techniques (transurethral resection and open prostatectomy) for the surgical relief of bladder outlet obstruction. Despite this, its use has not been implemented in the urology community, probably due to the high complication rates of the HoLEP learning curve (HoLC). ObjectiveTo conduct a systematic review of the complication rates in HoLC and compare these with those of traditional techniques. Evidence acquisition: a systematic literature search was performed in MedLine and Embase using the search terms “HoLEP” and “holmium laser enucleation”. We identified 680 records and selected 15 studies following PRISMA criteria. Evidence synthesisAnalysis of 1705 cases in the learning curves of 59 surgeons. Most of the studies do not report complications in a standardized way. Intraoperative complication rates are low and usually without long-term impact. Postoperative complication rates are limited and show improvement with practice. The complication rates in the HoLC are similar or lower to those reported by traditional techniques. ConclusionComplication rates in HoLC are not higher than those reported by traditional techniques. HoLEP learning should not be delayed for fear of increasing complications or their severity. ER -