To compare surgery outcomes and safety of button bipolar enucleation of the prostate vs laparoscopic simple prostatectomy in patients with large prostates (> 80 g) in a two-center cohort study.
All patients with lower urinary tract symptoms due to benign prostatic enlargement (Prostate volume > 80 cc) undergoing button bipolar enucleation of the prostate (BTUEP) or laparoscopic simple prostatectomy (LSP) in two centers were enrolled. Data on clinical history, physical examination, urinary symptoms, uroflowmetry and prostate volume were collected at 0, 1, 3 6, 12, 24 and 36 months. Early and long-term complications were recorded.
Overall, 296 patients were enrolled. Out of them, 167/296 (56%) performed a LSP and 129/296 (44%) performed a BTUEP. In terms of efficacy both procedures showed durable results at three years with a reintervention rate of 8% in the LSP group and of 5% in the BTUEP group. In terms of safety, BTUEP and LSP presented similar safety profiles with a 9% of transfusion rate and no major complications.
LSP and BTUEP are safe and effective in treating large-volume adenomas with durable results at three years when performed in experienced centers.
World journal of urology. 2020 Nov 11 [Epub ahead of print]
Riccardo Lombardo, Anton Zarraonandia Andraca, Cristina Plaza Alonso, Juan Andres González-Dacal, Higinio Rodríguez Núñez, Aaron Barreiro Mallo, Barbara Cristina Gentile, Giorgia Tema, Luca Albanesi, Luca Mavilla, Valeria Baldassarri, Cosimo De Nunzio, Andrea Tubaro, Manuel Ruibal Moldes, Roberto Giulianelli
Nuova Villa Claudia, Rome, Italy., Complejo Hospitalario de Pontevedra Hospital Montecelo, Pontevedra, Spain., Azienda Ospedaliera Sant'Andrea Roma, 'Sapienza' University, Rome, Italy. ., Azienda Ospedaliera Sant'Andrea Roma, 'Sapienza' University, Rome, Italy.