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

摘要

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.MethodsOur 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.ResultsThere 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.ConclusionOur 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.