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Posted by on Aug 31, 2019 in Benign prostatic hyperplasia | 0 comments

In a nutshell

This study aimed to compared two treatment options, bipolar endoscopic enucleation of the prostate (b-EEP) and bipolar transurethral resection of the prostate (b-TURP), for benign prostatic obstruction (BPO). This study found that b-EEP is an effective and safe surgical treatment for BPO. 

Some background

Benign prostatic obstruction (BPO) is a non-cancerous enlargement of the prostate gland. BPO can impede the flow of urine. This leads to lower urinary tract symptoms (LUTS) such as dribbling of urine and a feeling of incomplete bladder emptying. Surgery can be used to treat this. Two types are bipolar endoscopic enucleation of the prostate (b-EEP) or bipolar transurethral resection of the prostate (b-TURP). b-TURP is carried out through the urethra. It is a commonly used procedure for BPO. b-EEP is a newer procedure using a laser to remove parts of the prostate blocking urine flow.

It is unclear which option is better.

Methods & findings

This study analyzed 14 other studies. They compared b-EEP to b-TURP in terms of side-effects and effectiveness.

B-EEP was found to have a lower risk of side-effects. It was also associated with less chance of needing a further surgery. It also had shorter hospitalization and shorter times with catheter. 

The bottom line

This study found that b-EEP is an effective and safe surgical treatment for BPO. 

The fine print

The studies analyzed had different protocols and follow-up periods. All the surgeries were done by experienced surgeons. Further studies are needed.

Published By :

World Journal of Urology

Date :

Jul 25, 2019

Original Title :

Bipolar endoscopic enucleation versus bipolar transurethral resection of the prostate: an ESUT systematic review and cumulative analysis.

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