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<p>In the current guidelines endoscopic prostate enucleation (EEP) is together with an open prostatectomy the first choice of treatment for large prostates. It leads to a&#xa0;more complete resection in the smaller prostates. From the introduction in our hospital in April 2017 to May 2022, all 401 patients undergoing a&#xa0;bipolar EEP (B-TUEP) were included. Indications were urinary retention (60%) or lower urinary tract symptoms (LUTS, 37%). The preoperative median prostate volume was 100 ml (35–325). Main complications were urinary tract infection (<i>n</i> = 66), bleeding with the need of coagulation (<i>n</i> = 5) and stricture (<i>n</i> = 8). At the six month follow up, 70% reported no LUTS. 93% of the patients reported that urination had (very) much improved after surgery. No one had an indwelling catheter. Prostate enucleation is safe and effective in treating patients with a&#xa0;large prostate with good effect on their symptoms.</p>

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Prostaatenucleatie in de praktijk: liever endoscopisch!

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  • 发表日期：

    2025年9月2日

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  • Marjolein J. E. Reichert,
  • Mischa J. Wijffelman

摘要

In the current guidelines endoscopic prostate enucleation (EEP) is together with an open prostatectomy the first choice of treatment for large prostates. It leads to a more complete resection in the smaller prostates. From the introduction in our hospital in April 2017 to May 2022, all 401 patients undergoing a bipolar EEP (B-TUEP) were included. Indications were urinary retention (60%) or lower urinary tract symptoms (LUTS, 37%). The preoperative median prostate volume was 100 ml (35–325). Main complications were urinary tract infection (n = 66), bleeding with the need of coagulation (n = 5) and stricture (n = 8). At the six month follow up, 70% reported no LUTS. 93% of the patients reported that urination had (very) much improved after surgery. No one had an indwelling catheter. Prostate enucleation is safe and effective in treating patients with a large prostate with good effect on their symptoms.