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Related Experiment Video

Updated: Jun 5, 2026

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
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Published on: May 9, 2018

TURP for BPH. How large is too large?

C Persu1, D Georgescu, I Arabagiu

  • 1Urology Department, Saint John Clinical Emergency Hospital, Bucharest, Romania.

Journal of Medicine and Life
|January 25, 2011
PubMed
Summary
This summary is machine-generated.

Transurethral resection of the prostate (TURP) is a safe and effective treatment for large prostates over 80 ml. Skilled urologists can achieve results comparable to open surgery for benign prostatic hyperplasia (BPH).

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Published on: August 14, 2019

Related Experiment Videos

Last Updated: Jun 5, 2026

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
07:17

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

Published on: May 9, 2018

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).
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Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).

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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
05:25

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing

Published on: August 14, 2019

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Benign Prostatic Hyperplasia (BPH) Management

Background:

  • Benign prostatic hyperplasia (BPH) is a common urological condition.
  • Transurethral resection of the prostate (TURP) is the gold standard for medium-sized prostates.
  • New minimally invasive techniques have not yet replaced TURP.

Purpose of the Study:

  • To evaluate the safety and efficacy of TURP for prostates larger than 80 ml.
  • To demonstrate TURP's viability beyond the European Association of Urology guidelines' cutoff.
  • To explore indications for TURP in large prostates despite contraindications for open surgery.

Main Methods:

  • Retrospective analysis of a large personal experience using TURP for prostates >80 ml.
  • Application of classic TURP technique with minor tactical modifications.
  • Inclusion of cases requiring a two-stage approach for very large prostates.

Main Results:

  • TURP proved to be safe and effective for large prostates (>80 ml).
  • Good functional results were achieved, even with a two-stage approach.
  • Outcomes were comparable to open surgery for large prostates when performed by skilled urologists.

Conclusions:

  • TURP is a viable and effective minimally invasive option for managing large prostates.
  • Skilled urologists can achieve excellent results with TURP in cases where open surgery is challenging.
  • Patient preference, surgical contraindications, and service demands can justify TURP for larger glands.