Monopolar Versus Laser (ThuFLEP, HoLEP) Endoscopic Enucleation of the Prostate: A Single-center Experience

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The aim of our study was to compare the efficacy and functional outcomes of three different techniques of endoscopic enucleation of the prostate including monopolar enucleation, holmium laser enucleation (HoLEP), and thulium fiber laser enucleation (ThuFLEP).


After approval by the Institutional Review Board committee, we performed retrospective assessment of pre- and postoperative parameters of 551 male patients aged 54 to 87 years(IPSS>20; Qmax


HoLEP was performed on 254 patients, monopolar enucleation - on 95 patients and ThuFLEP - on 202 patients. The mean mass of morcellated tissue did not differ significantly between techniques (p>0.05). However, the mean ThuFLEP (71.6±26.7 min) and mean HoLEP (75.9±35.3 min) times were shorter than monopolar enucleation (95.9±38.3 min) time (p0.05).


Both laser enucleation techniques proved to be efficacious in the management of BPH. Monopolar enucleation of the prostate seems to be a highly promising addition to the list of enucleation techniques. It is an effective and acceptable procedure, despite having a higher complication rate.

Funding: None