HoLEP vs BPRP of a Large Volume BPH: a Randomised Controlled Trial

Holmium Laser Enucleation vs Bipolar Resection of a Large Volume BPH: a Randomised Controlled Study

To compare bipolar resection versus holmium laser enucleation for management of large BPH.

To compare safety and efficacy of bipolar resection (BPRP) versus holmium laser enucleation (HoLEP) for management of large BPH (> 75 gm).

Inclusion Criteria:

• Patients suffering from LUTS secondary to infravesical obstruction from BPH
• failed medical treatment
• International Prostate Symptom Score (IPSS) > 13
• a peak urinary flow rate (Qmax) < 15 ml/sec
• a prostate size ≥ 75 gm

Exclusion Criteria:

• presence of a urethral stricture
• neurological disorder
• bladder cancer
• prostate cancer
• previous history of bladder neck surgery or TURP