African Journal of Urology (Feb 2021)

Two-year follow-up after holmium laser enucleation of the prostate and bipolar transurethral resection of the prostate: a prospective randomized study

  • Mamdouh M. El-Hawy,
  • Amr Eldakhakhny,
  • Ahmed AbdEllatif,
  • Emad A. Salem,
  • Ahmed Ragab,
  • Mostafa S. Elsharkawy,
  • Mostafa M. Abdelghani,
  • Luay Alshara,
  • Mohamed G. Hasanein,
  • Ahmed H. Ismail,
  • Ebrahim M. Ismail,
  • Mohamed A. Hassan,
  • Ahmed I. Ali

DOI
https://doi.org/10.1186/s12301-021-00128-y
Journal volume & issue
Vol. 27, no. 1
pp. 1 – 6

Abstract

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Abstract Background Different treatment options are available for the management of BPH. Our study aimed to compare the surgical outcomes of a holmium laser enucleation of the prostate (HoLEP) and a bipolar transurethral resection of the prostate (Bipolar-TURP) after 2 years. Methods Our prospective randomized study included 114 patients: 55 patients underwent HoLEP procedure and 59 patients underwent bipolar TURP procedure. All patients underwent a complete preoperative assessment and a physical examination. The postoperative follow-up data included Q max and IPSS recordings at 1, 3, 6, 12, and 24 months and PVR urinary volume recordings at 6 and 12 months. Any postoperative complications were also recorded. Results There were no statistically significant differences between both groups regarding IPSS and Q max scores at one and 24 months postoperative. Also, there were no statistically significant differences between both groups regarding postoperative PVR at 6 and 12 months. One patient in the HoLEP group developed total incontinence after surgery. Conclusion Our study did not show a significant difference between HoLEP and bipolar TURP regarding postoperative Q max and IPSS scores at 24 months of follow-up.

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