V02-05: Thulium Fiber Laser Enucleation of the Small Glands (Video

INTRODUCTION

Monopolar transurethral resection of the prostate (TURP) is the treatment of choice and most frequently performed surgery for prostate glands over 80 cc. Thulium fiber laser enucleation of the prostate (ThuFLEP) is a less invasive treatment option for BPH due to minimal penetration of laser energy (0.2 mm) and tissue coagulation. The aim of our study was to compare the efficacy of TURP and ThuFLEP in management of BPH in patients with small prostate glands (

METHODS

This retrospective study included 398 patients with prostate volume less than 80 cc aged 66.1 (54-82) years with infravesical obstruction (IPSS>20, Qmax

RESULTS

Mean surgery time in the ThuFLEP group was higher (48.1±17.6 min) than in the TURP group (37.9±18.6 min) (p

CONCLUSION

Despite taking longer to perform, ThuFLEP for BPH in patients with small prostate glands (>80 cc) offered improvement in voiding parameters – comparable to those after TURP – while at the same time showing decreased postoperative complication rates.

Funding: none