[Endoscopic enucleation of the prostate]

Area of Science:

• Urology
• Minimally Invasive Surgery

Background:

• Surgical options for benign prostatic hyperplasia (BPH) have expanded significantly over the past 20 years.
• Simple suprapubic prostatectomy (SP) is now rarely used.
• Transurethral resection of the prostate (TURP) remains a standard, with bipolar techniques enhancing safety.

Purpose of the Study:

• To review the evolution and current status of minimally invasive surgical techniques for BPH.
• To highlight the growing role of endoscopic enucleation of the prostate (EEP) and its technological advancements.
• To discuss the comparative efficacy and standardization of these procedures.

Main Methods:

• Review of current surgical procedures for BPH, focusing on transurethral techniques.
• Analysis of the impact of technological advancements, particularly laser and bipolar energy sources, on BPH treatment.
• Examination of clinical studies and standardization efforts for endoscopic enucleation of the prostate (EEP).

Main Results:

• Transurethral resection of the prostate (TURP) has been improved by bipolar technology.
• Endoscopic enucleation of the prostate (EEP) is increasingly competing with TURP, especially for larger prostates.
• Laser technology has significantly advanced BPH treatment, similar to its impact on stone therapy.

Conclusions:

• Endoscopic enucleation of the prostate (EEP), utilizing laser and bipolar energy, is becoming a leading treatment for BPH.
• EEP is effectively replacing older methods like SP and challenging TURP as the gold standard.
• Ongoing research and high-quality clinical trials continue to support the efficacy and adoption of EEP.