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Updated: May 23, 2026

05:28
Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia Using a 980 nm Diode Laser
Published on: May 5, 2020
[Innovative technique in large benign prostatic hyperplasia--enucleation by plasma vaporization]
B Geavlete1, R Mulţescu, C Moldoveanu
1Clinica de Urologie, Spitalul Clinic de Urgenţă "Sfântul Ioan", Bucureşti, România.
Summary
Bipolar plasma enucleation of the prostate (BPEP) is an effective endoscopic treatment for large benign prostatic hyperplasia (BPH) cases. This procedure demonstrates good surgical outcomes, reduced complications, and quick recovery for patients.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Endourology
Background:
- Benign prostatic hyperplasia (BPH) is a common condition in aging men.
- Large prostates (>80 ml) present surgical challenges.
- Existing treatments may have limitations for large BPH cases.
Purpose of the Study:
- To evaluate bipolar plasma enucleation of the prostate (BPEP) as an endoscopic treatment for large BPH.
- To assess the surgical efficiency, safety, and short-term outcomes of BPEP.
- To compare BPEP results with established BPH treatment benchmarks.
Main Methods:
- A prospective study included 30 patients with BPH and prostates >80 ml.
- Patients underwent BPEP.
- Preoperative and 1, 3-month postoperative assessments included IPSS, QoL, Qmax, and ultrasonography.
Main Results:
- BPEP was successfully performed in all cases.
- Mean enucleation/morcellation times were 69.8/18.5 min; mean tissue weight was 77g.
- Significant improvements in IPSS, QoL, and Qmax were observed at 1 and 3 months post-surgery, with minimal hemoglobin drop and short catheterization/hospital stay.
Conclusions:
- BPEP is a promising endoscopic option for large BPH.
- The procedure offers good surgical efficacy and reduced morbidity.
- Patients experience fast postoperative recovery and satisfactory functional outcomes.

