HoLEP vs BPRP in the Management of a Large Volume (> 80 gm) Symptomatic BPH

Holmium Laser Enucleation Versus Bipolar Resection in the Management of a Large Volume (> 80 gm) Symptomatic BPH: a Randomised Controlled Trial

To compare bipolar resection versus holmium laser enucleation for management of symptomatic large BPH (> 80 gm)

To compare safety and efficacy of bipolar resection (BPRP) versus holmium laser enucleation (HoLEP) for management of symptomatic large BPH (> 80 gm)

Inclusion Criteria:

• Patients suffering from LUTS secondary to infravesical obstruction from BPH with failed medical treatment
• International Prostate Symptom Score (IPSS) > 13
• a peak urinary flow rate (Qmax) < 15 ml/sec
• a prostate size ≥ 80 gm

Exclusion Criteria:

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