Category: BPH/LUTS: Electrosurgery, Lasers & Other Technology
Introduction & Objective :
Aim of our study is to compare surgery outcomes and safety of button bipolar enucleation of the prostate vs open prostatectomy in patients with large prostates (>80g) in a single center cohort study.
All patients with lower urinary tract symptoms due to benign prostatic enlargement undergoing button bipolar enucleation of the prostate (B-TUEP) or open prostatectomy (OP) between May 2012 and December 2013 were enrolled in our study. Data on clinical history, physical examination, urinary symptoms, erectile function, uroflowmetry and prostate volume were collected at 0,1,3 6, 12, 24 and 36 months. Early and long-term complications were recorded.
Overall, 240 patients were enrolled. Out of them 111/240 (46%) performed an OP and 129/240 (54%) performed a B-TUEP. In terms of efficacy both procedures showed durable results at three years with a reintervention rate of 7.5% in the OP group and of 5% in the B-TUEP group. In terms of safety B-TUEP presented less high-grade complications when compared to OP.
In our single center study, B-TUEP represents a valid alternative to OP with excellent outcomes at three years. Further multicentre studies should confirm our results.
Keywords: Bipolar plasma enucleation, open prostatectomy, outcomes
barbara cristina Gentile– urology, villa claudia, Rome, Lazio, Italy
Roberto Giulianelli– urology, Rome, Lazio, Italy
Luca Albanesi– Rome, Lazio, Italy
Gabriella Mirabile– Rome, Lazio, Italy
Giorgio Rizzo– rome, Lazio, Italy
Paola Tariciotti– Rome, Lazio, Italy
Pietro Aloisi– Rome, Lazio, Italy