Evaluation of Postoperative Outcomes of Transurethral Resection of Prostate and Holmium Laser Enucleation of the Prostate for Benign Prostatic Hyperplasia: A Comparative Study from South Gujarat and Central India

Abstract Objectives: Transurethral resection of prostate (TURP) is considered a gold standard procedure for surgical treatment of bladder outflow obstruction due to benign prostatic hyperplasia (BPH). Our study aims to observe postoperative outcomes of two prostate surgeries performed at our institution for BPH: holmium: YAG laser enucleation of prostate (HoLEP) and bipolar-TURP (b-TURP). Methodology: A total of 127 patients with bladder outlet obstruction due to BPH underwent either HoLEP or b-TURP. They were clinically assessed postoperatively, and 1 month and 6 months postoperatively; three patients were lost to follow-up in total. Patients’ baseline characteristics and postoperative parameters were compared; all complications were noted. Results: HoLEP and b-TURP were both successful in reducing the American Urological Association symptom scores. HoLEP was significantly superior to b-TURP in decreasing hemoglobin loss, length of hospital stay, urinary catheter removal time, and occurrence of postoperative complications. The HoLEP group also faced significantly lower incidence of postoperative hematuria, urinary tract infection, ejaculatory duct obstruction, blood transfusion, and urethral stricture. Conclusion: HoLEP has better postoperative outcomes in the treatment of BPH as compared to b-TURP, with both of them being highly efficient in providing symptomatic relief. b-TURP has higher complication rates.