Transurethral bipolar enucleation using a TUEB loop for large benign prostatic hyperplasia: a retrospective cohort...

Area of Science:

• Urology
• Minimally Invasive Surgery
• Surgical Technology

Background:

• Benign prostatic hyperplasia (BPH) affects a significant number of aging men.
• Transurethral enucleation with bipolar system (TUEB) is a common surgical treatment for BPH.
• Prostate size can influence the choice and outcomes of surgical interventions.

Purpose of the Study:

• To evaluate the efficacy and safety of transurethral enucleation with bipolar system (TUEB) using a specialized loop.
• To assess TUEB performance irrespective of prostate volume (PV).

Main Methods:

• A cohort of 251 patients undergoing TUEB was divided into small-PV (≤80 mL) and large-PV (>80 mL) groups.
• Comparative analysis of demographic data and treatment outcomes between the two groups.
• Assessment of operative times, enucleation efficiency, and functional outcomes.

Main Results:

• While operative, enucleation, and morcellation times were longer in the large-PV group, enucleation efficiency and PSA reduction rates were superior.
• Both groups showed significant improvements in International Prostate Symptom Score, maximum flow rate, and post-void residual urine at 12 months.
• No blood transfusions were required, and complication rates (clot retention, urethral stricture, incontinence) were similar between groups.

Conclusions:

• TUEB with the specialized loop demonstrates high satisfaction, efficiency, and safety for BPH surgery across all prostate sizes.
• TUEB is a highly recommended surgical option for large BPH cases unresponsive to medication.