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

African Journal of Urology - Tập 27 Số 1 - 2021
Mamdouh M. El‐Hawy1, Amr Eldakhakhny2, Ahmed Abdel‐Latif3, Emad A. Salem4, Ahmed Ragab4, Mostafa S. Elsharkawy1, Mostafa M. Abdelghani1, Luay Alshara5, Mohamed Hasanein1, Alaa Ismail1, Ebrahim M. Ismail4, Mohamed A. Hassan1, Mostafa Magdi Ali1
1Department of Urology, School of Medicine, Minia University, Minya, 61111, Egypt
2Department of Urology, School of Medicine, Benha University, Benha University Hospital, Benha, 61111, Egypt
3Department of Urology, School of Medicine, Beni-Suef University, Beni-Suef University Hospital, Beni Suef, 61111, Egypt
4Department of Urology, School of Medicine, Zagazig University, Zagazig, Egypt
5Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Ave, Q10, Cleveland, OH, 44195, USA

Tóm tắt

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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Tài liệu tham khảo

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African Journal of Urology

Tập 27 Số 1

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