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

• Main Authors: 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
• Format: Article
• Language: English
• Published: SpringerOpen 2021-02-01
• Series: African Journal of Urology
• Subjects: BPH; HoLEP; Bipolar; TURP
• Online Access: https://doi.org/10.1186/s12301-021-00128-y
• ISSN: 1110-5704; 1961-9987

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.