4 Other NICE recommendations on holmium laser prostatectomy

Guidance

Further recommendations have been made as part of the clinical guideline on lower urinary tract symptoms published in May 2010, as follows:

If offering surgery for managing voiding lower urinary tract symptoms (LUTS) presumed secondary to benign prostatic enlargement (BPE), offer monopolar or bipolar transurethral resection of the prostate (TURP), monopolar transurethral vaporisation of the prostate (TUVP) or holmium laser enucleation of the prostate (HoLEP). Perform HoLEP at a centre specialising in the technique, or with mentorship arrangements in place.

Clinical and cost-effectiveness evidence was reviewed in the development of this guideline which has led to this more specific recommendation. More information about this guideline is available in NICE's guideline on lower urinary tract symptoms in men on the NICE website.

The IP guidance on holmium laser prostatectomy remains current, and should be read in conjunction with the clinical guideline.