Holmium Laser Enucleation of the Prostate Versus Bipolar Resection of the Prostate: A Prospective Randomized Study. "Pros and Cons".

Objective: To compare the safety, efficacy, and applicability of holmium laser enucleation of the prostate (HoLEP) and bipolar transurethral resection of the prostate (TURPb) procedures, whereas the secondary objective is to find out the advantages and disadvantages of each.

Patients And Methods: A prospective randomized study included 120 patients with benign prostatic hyperplasia that required intervention. The patients were randomized in 2 equal groups: group A managed by HoLEP and group B managed by TURPb.

Holmium laser enucleation versus bipolar resection of the prostate: a prospective randomized study. Which to choose?

Background And Purpose: Holmium enucleation of the prostate (HoLEP) has been established as an effective therapy for patients with benign prostatic hyperplasia (BPH), with less bleeding, shorter catheterization time, and shorter hospital stay. The evolution of the bipolar transurethral resection of the prostate (TURP) raised a question: Would it be able to provide all the advantages of HoLEP and compensate for all its drawbacks, including the higher costs and the steep learning curve?

Patients And Methods: A randomized study was performed that compared HoLEP with bipolar TURP. The study included 60 patients with BPH who were randomized in two groups (1:1 fashion).