MP62-11 HOLMIUM LASER ENUCLEATION VERSUS BIPOLAR RESECTION FOR LARGE PROSTATE

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You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology I1 Apr 2018MP62-11 HOLMIUM LASER ENUCLEATION VERSUS BIPOLAR RESECTION FOR LARGE PROSTATE Ahmed Yehia, Enmar Habib, Mohammed ElSheemy, Hussein Aly, Samir Morsy, A Hossam, and M Abdelazeem Ahmed YehiaAhmed Yehia More articles by this author , Enmar HabibEnmar Habib More articles by this author , Mohammed ElSheemyMohammed ElSheemy More articles by this author , Hussein AlyHussein Aly More articles by this author , Samir MorsySamir Morsy More articles by this author , A HossamA Hossam More articles by this author , and M AbdelazeemM Abdelazeem More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2012AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To compare safety and efficacy of bipolar resection (BPR) vs holmium laser enucleation (HOLEP) for large prostate. METHODS 141 patients with BPH (larger or equal to 75 gm) indicated for surgical intervention were included in this prospective cohort study. Patients were classified into 2 groups. Group A (71 cases) treated by HOLEP (Versa pulse 100 W; Lumenis; Germany) using 550 micron laser fibers (2 J - 50 Hz for enucleation and 1.5 J - 30 Hz for hemostasis). Enucleation was followed by use of morcellator (Versa cut). Group B (70 cases) was treated by BPR using bipolar resectoscope (Karl Storz) and its generator (AUTOCON® II 400 ESU). Power output was set at 5 for resection and 6 for coagulation. Preoperative criteria, operative and postoperatiove findings were compared between both groups using Mann-Whitney test, Chi-Square test, Student-t test or Fisher-Exact test as appropriate. Preoperative vs postoperative findings were compared in each group using Wilcoxon-signed rank test. RESULTS Perioperative and follow-up findings are presented in Table 1. Adenoma size and patients on anticoagulants were significantly higher in HOLEP group. Hospital stay, catheterization time and hemoglobin loss were significantly better in HOLEP group. Follow up was done for 6 months in all patients. There was significant postoperative improvement in IPSS score and Qmax in each group. Qmax improvement was significantly better in Group A. There was no significant difference in postoperative complications between both groups but blood transfusion was clinically higher in group B (and near significance, p = 0.058). CONCLUSIONS HOLEP and bipolar resection are safe and effective for treatment of large prostate. Although patients on anticoagulants or with larger adenoma sizes were significantly present in a higher rate in HOLEP group, HOLEP provided a better voiding pattern, hemoglobin loss, hospital stay and catheterization time. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e836 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Ahmed Yehia More articles by this author Enmar Habib More articles by this author Mohammed ElSheemy More articles by this author Hussein Aly More articles by this author Samir Morsy More articles by this author A Hossam More articles by this author M Abdelazeem More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...