<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1816-8949</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Ciencias Médicas (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></abbrev-journal-title>
<issn>1816-8949</issn>
<publisher>
<publisher-name><![CDATA[EFACIM. Editorial de la Facultad de Ciencias Médicas - Universidad Nacional de Asunción]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1816-89492025000300035</article-id>
<article-id pub-id-type="doi">10.18004/anales/2025.058.03.35</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enucleación prostática con láser de holmio. Experiencia en un Servicio de Urología en Paraguay.]]></article-title>
<article-title xml:lang="en"><![CDATA[Holmium laser enucleation of the prostate. Experience in a Urology Center in Paraguay.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abarzúa Cabezas]]></surname>
<given-names><![CDATA[Fernando Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hanano Nagasawa]]></surname>
<given-names><![CDATA[Luis Yuichi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Novais Peña]]></surname>
<given-names><![CDATA[José María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera Nuñez]]></surname>
<given-names><![CDATA[Blas Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera Franco]]></surname>
<given-names><![CDATA[Sergio Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esquivel Oviedo]]></surname>
<given-names><![CDATA[Luis Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Volpe Avila]]></surname>
<given-names><![CDATA[Alejandro Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Speratti Cano]]></surname>
<given-names><![CDATA[Ricardo Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rotela Rivelli]]></surname>
<given-names><![CDATA[Luis Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cantero Zacarías]]></surname>
<given-names><![CDATA[Rubén Darío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico La Costa  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>58</volume>
<numero>3</numero>
<fpage>35</fpage>
<lpage>42</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1816-89492025000300035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1816-89492025000300035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1816-89492025000300035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La enucleación prostática por láser de Holmio (HOLEP por sus siglas en inglés) es una técnica quirúrgica endoscópica para tratar el crecimiento prostático obstructivo. Actualmente las guías de la Sociedad Americana de Urología y la Sociedad Europea de Urología consideran al HoLEP como alternativa de tratamiento quirúrgico a RTU-P y a la prostatectomía abierta.  Materiales y métodos:  Se realizó un estudio de tipo observacional, descriptivo de prevalencia de corte transversal retrospectivo del año 2022 al 2024.  Resultados:  Se analizaron los datos de 182 pacientes operados de HOLEP en el Centro Médico La Costa por un mismo equipo quirúrgico. Con respecto a la edad de los pacientes operados se encontró una media de 66,59 años. Sobre el tamaño prostático se encontró una media de 77,10. Como tiempo promedio de cirugía un valor de 99,8 minutos. Con respecto a complicaciones se tuvo un 2,7% de episodios de reintervención por hematuria, 1% de pacientes necesitaron transfusión sanguínea y 1,6% de los pacientes presentaron episodios de retención aguda de orina al retiro de la sonda, dando una tasa global de complicaciones de 5,5%.  Conclusión:  El agrandamiento de la glándula prostática es un evento natural del envejecimiento del varón, dentro de las alternativas terapéuticas validas indepedientes del tamaño se encuentra el HoLep. El mismo es considerado actualmente como el Gold Standard en el manejo quirúrgico de la glándula prostática, nuestra intención presentar los primeros casos descritos en nuestro país con resultados comparables a los descritos en la literatura médica mundial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Holmium Laser Enucleation of the Prostate (HoLEP) is an endoscopic surgical technique used to treat obstructive prostatic enlargement. Currently, the guidelines of the American Urological Association and the European Association of Urology consider HoLEP a surgical treatment alternative to TURP (Transurethral Resection of the Prostate) and open prostatectomy.  Materials and Methods:  An observational, descriptive, cross-sectional retrospective prevalence study was conducted from 2022 to 2024. Results: Data from 182 patients who underwent HoLEP at the La Costa Medical Center by the same surgical team were analyzed. The mean age of the operated patients was 66.59 years. The mean prostate size was 77.10. The average surgical time was 99.8 minutes. Regarding complications, there was a 2.7% rate of reintervention due to hematuria, 1% of patients required blood transfusion, and 1.6% of patients experienced episodes of acute urinary retention after catheter removal, resulting in an overall complication rate of 5.5%.  Conclusion:  Prostate gland enlargement is a natural event of male aging. Among the valid therapeutic alternatives, HoLEP is an option regardless of prostate size. It is currently considered the gold standard in the surgical management of the prostate gland. Our aim is to present the first cases described in our country with results comparable to those described in the global medical literature.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hiperplasia Prostática Benigna]]></kwd>
<kwd lng="es"><![CDATA[Enucleación Prostática con Láser de Holmio]]></kwd>
<kwd lng="es"><![CDATA[Síntomas del Tracto Urinario Inferior]]></kwd>
<kwd lng="es"><![CDATA[Próstata]]></kwd>
<kwd lng="es"><![CDATA[Procedimientos Quirúrgicos Urológicos.]]></kwd>
<kwd lng="en"><![CDATA[Benign Prostatic Hyperplasia]]></kwd>
<kwd lng="en"><![CDATA[Holmium Laser Enucleation of the Prostate]]></kwd>
<kwd lng="en"><![CDATA[Lower Urinary Tract Symptoms]]></kwd>
<kwd lng="en"><![CDATA[Prostate]]></kwd>
<kwd lng="en"><![CDATA[Urologic Surgical Procedures.]]></kwd>
</kwd-group>
</article-meta>
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</name>
</person-group>
<article-title xml:lang=""><![CDATA[Predictors of postoperative urinary incontinence after holmium laser enucleation of the prostate (HoLEP) for surgeons early in their experience]]></article-title>
<source><![CDATA[LUTS]]></source>
<year>2024</year>
<volume>16</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
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