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Bipolar plasma enucleation of the prostate vs. open prostatectomy in large benign prostatic hyperplasia: a single centre 3-year comparison

Abstract

Backround

Aim of our study is to compare the surgery outcomes and safety of button bipolar enucleation of the prostate vs. open prostatectomy in patients with large prostates (> 80 g) in a single-centre cohort study.

Materials and methods

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 enroled 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.

Results

Overall, 240 patients were enroled. Out of them 111 patients (46%) performed an OP and 129 patients (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 5% in the B-TUEP group. In terms of safety, B-TUEP presented less high-grade complications when compared with OP.

Conclusions

In our single-centre study, B-TUEP represents a valid alternative to OP with excellent outcomes at three years. Further multicentre studies should confirm our results.

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Authors contributions

Authors have made a substantial contribution to the following: RG: research design, acquisition, analysis and interpretation of data, drafted the paper and approved the submitted and final versions. BCG: research design, acquisition of data, revised the paper critically and approved the submitted and final versions. GM: research design, analysis of data, revised the paper critically and approved the submitted and final versions. GT: research design, analysis of data, revised the paper critically and approved the submitted and final versions. LA: research design, interpretation of data, revised the paper critically and approved the submitted and final versions. PT: research design, acquisition analysis, interpretation of data, drafted the paper or approved the submitted and final versions. GR: research design, acquisition of data, revised the paper critically and approved the submitted and final versions. CF: research design, acquisition of data, revised the paper critically and approved the submitted and final versions. PA: research design, analysis and interpretation of data, drafted the paper and approved the submitted and final versions. GV: research design, analysis, interpretation of data, drafted the paper and approved the submitted and final versions. RL: research design, acquisition analysis, interpretation of data, drafted the paper or approved the submitted and final versions.

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Correspondence to Riccardo Lombardo.

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Giulianelli, R., Gentile, B.C., Mirabile, G. et al. Bipolar plasma enucleation of the prostate vs. open prostatectomy in large benign prostatic hyperplasia: a single centre 3-year comparison. Prostate Cancer Prostatic Dis 22, 110–116 (2019). https://doi.org/10.1038/s41391-018-0080-7

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