COMPARATIVE ANALYSIS OF EFFICACY OF HOLEP VS BIPOLAR TURP IN BPH PATIENTS: A RETROSPECTIVE ANALYSIS

Objective: To evaluate the efcacy of HoLEP as compared to Bipolar TURP in terms of postop and follow up parameters. Methods: A retrospective study was done in BPH patients who underwent Bipolar TURP and HoLEP in between May 2022 to April 2024. A total of 63 patients were assessed which comprised of 30 patients of Group 1 (Bipolar TURP) and and 33 patients of Group 2 (HoLEP). Patients were assessed in terms of Resected tissue weight, Hemoglobin drop, Change in Sodium, Post op IPSS, QoL, Qmax, PVR at 1 month and 3 months follow up. Results: Post op parameters like resected tissue weight was found to be signicantly more in HoLEP group as compared to Bipolar TURP (p = 0.001), there was no signicant difference in Hemoglobin drop and change in sodium levels between the two groups (p=0.09) and (p=0.92). Follow up parameters like Qmax at 1 month and 3 months post op was found to be signicantly better in HoLEP group as compared to Bipolar TURP group (p=0.002) and (p=0.032). IPSS, Qol and PVR at 1 month and 3 month follow up were similar in both the groups (p>0.05). Conclusion: Both HoLEP and Bipolar TURP showed similar results in terms of Hemoglobin drop, change in Sodium , IPSS, Qol and PVR but there was a signicant difference in resected tissue weight and post op Qmax favouring HoLEP as compared to Bipolar TURP.