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Neurologic disease can cause the neurogenic bladder which can compromise the treatment outcome of HoLEP in patients with benign prostatic hyperplasia (BPH). Moreover, anticoagulants are frequently administered in those patients. We compared the efficacy and safety outcomes of HoLEP in BPH patients with or without neurologic disease.

"The extra weight for this lift has been pretty useful. My father is 454 pounds now and he would not have fit in the 400. The 500 is the perfect fit for him and I'm very happy that every thing has worked out. - Tiffany K."

We retrospectively reviewed the medical records, and preoperative urodynamic study (UDS) Results of BPH patients who underwent HoLEP between June 2009 and December 2015.

"So glad that you can use this lift with the battery instead of the A/C power. I live in the Southeastern U.S. so as you can imagine, hurricanes are our achilles' heel. If the power goes out I no longer have to worry about getting my loved ones into safety in time. Very thankful indeed. - Charles E."

"The lifting on this lift (ha) is really great!. I was surprised at how high my daughter was lifted at the maximum height. It lifted her all the way from the floor to the top of her brother's bunk bed. Very effective! I also liked that it was nice and easy to set up. It just keeps getting better and better! - Lillian J."

Of the 317 patients who received the HoLEP, 26 (8.2%) patients had underlying neurologic diseases. Neurologic disease group was more frequently administered anticoagulants than non-neurologic group (69.2 vs. 18.6%; p <0.001). However, neurologic disease group demonstrated similar patient characteristics and pre-operative urologic findings with non-neurologic disease group as shown in the Table. Two groups demonstrated similar operation time (non-neurologic disease group vs. neurologic disease group; 116.2 vs. 107.8 min, p=0.291), transfusion rate (0.3 vs. 0.0%, p=0.765), hospital stay (6.1 vs. 5.6 days, p=0.245), catheter duration (3.3 vs. 3.5 days, p=0.593), re-catheterization rate (5.2 vs. 0.0%, p=0.236). At median follow-up of 6 months, two groups demonstrated similar outcome parameters such as Qmax (19.6 vs. 16.6 mL/sec, p=0.088), PVR (27.9 vs. 35.2 mL, p=0.467), IPSS-emptying (3.1 vs. 3.6, p=0.645), IPSS-storage (4.3 vs. 3.3, p=0.219), and IPSS-QoL (1.6 vs. 2.0, p=0.470). Rates of complications such as incontinence (6.7 vs. 9.1%, p=0.671), urinary tract infection (0.8 vs. 0.0%, p=0.667), urethral stricture (1.7 vs. 4.5%, p=0.347) were not also different between two groups.

M. Kim, K.H. Moon, H.S. Shin, T.-Y. Ahn, PO-01-042 Efficacy and Safety of Holmium Laser Enucleation of Prostate (HoLEP) in Patients with Underlying Neurologic Disease, The Journal of Sexual Medicine, Volume 16, Issue Supplement_2, May 2019, Pages S59–S60, https://doi.org/10.1016/j.jsxm.2019.03.197

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