Holmium laser enucleation of the prostate with Virtual Basket mode: faster and better control on bleeding

Abstract Background To compare clinical intra and early postoperative outcomes between conventional Holmium laser enucleation of the prostate (HoLEP) using Virtual Basket tool (VB-HoLEP) to treat benign prostatic hyperplasia (BPH). Methods This prospective randomized study enrolled consecutive patients with BPH, who were assigned undergo either HoLEP (n = 100), or VB-HoLEP 100). All evaluated preoperatively postoperatively, particular attention catheterization time, operative blood loss, irrigation volume hospital stay. We also at 3 6 months after surgery assessed maximum flow rate (Qmax), postvoid residual urine (PVR), International Prostate Symptom Score (IPSS) Quality Life score (QOLS). Results No significant differences in preoperative parameters each arm found. Compared HoLEP, resulted less hemoglobin decrease (2.54 vs. 1.12 g/dl, P 0.03) reduced time (57.33 ± 29.71 42.99 18.51 min, 0.04). detrmined similar (2.2 1.9 days, 0.45), (33.3 31.7 l, 0.69), stay (2.8 2.7 0.21). During 6-month follow-up no IPSS, Qmax, PVR, QOLS demonstrated. Conclusions are both efficient safe procedures for relieving lower urinary tract symptoms. was statistically superior loss time. However, did not differ significantly stay, volume. demonstrated QOLS, Qmax PVR throughout follow-up. Trial Registration : Current Controlled Trials ISRCTN72879639; date registration: June 25th, 2015. Retrospectively registred.