Related Experiment Video
Updated: Dec 26, 2025
05:28
Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia Using a 980 nm Diode Laser
Published on: May 5, 2020
2.6K
[Bipolar and laser endoscopic enucleation for large benign prostatic hyperplasia].
A G Martov1,2, D V Ergakov1,2, D E Turin1,2
1Urologic department 2 of GBUZ City clinical hospital named after D.D. Pletnev of the Health Department c. Moscow, Moscow, Russia.
Urologiia (Moscow, Russia : 1999)
|March 20, 2020
Summary
Endoscopic enucleation using bipolar or laser techniques is an effective and safe treatment for large prostates. Most postoperative irritative symptoms resolved within six months, with minimal long-term incontinence.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Prostate Health
Background:
- Endoscopic enucleation is a standard minimally invasive surgical approach for treating large prostates.
- This study evaluates the outcomes of endoscopic enucleation for benign prostatic hyperplasia (BPH).
Purpose of the Study:
- To analyze preoperative, intraoperative, and postoperative outcomes of endoscopic enucleation.
- To assess 12-month functional results following prostate enucleation.
Main Methods:
- A comparative analysis of 120 endoscopic enucleations: 63 bipolar electroenucleations and 57 laser enucleations (holmium and thulium).
- Evaluation of surgical techniques including three-lobe, two-lobe, and en-bloc enucleation.
- Comparison of patient groups based on International Prostate Symptom Score (I-PSS), quality of life (QoL), prostate volume, urinary flow rate, and residual urine volume.
Main Results:
- Adenoma weight removed averaged 105g (electroenucleation) and 98g (laser).
- Operation times were comparable (118 min vs. 132 min), as were catheterization duration and hospital stay.
- Urinary incontinence occurred in 9% of cases, with only one persistent case at 12 months. Risk factors for urinary disturbances included short distance from verumontanum to external sphincter and significant intravesical protrusion.
Conclusions:
- Endoscopic bipolar and laser enucleation are effective and safe treatments for large benign prostatic hyperplasia (BPH).
- Postoperative irritative symptoms were common but resolved by six months.
- Long-term functional outcomes were favorable with minimal persistent incontinence.
