Comparison of the efficacy of transurethral enucleation and resection of the prostate with transurethral resection of the prostate for medium prostate sizes

Abstract

© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND | 2020. Objective: To compare the efficacy of the transurethral enucleation of the prostate (TUERP) to transurethral resection of the prostate (TURP) through a prospective randomized controlled trial. Materials and Methods: Between January 2016 and December 2019, 46 patients from a single center were divided into two groups, TURP and TUERP, using simple randomization. The perioperative and postoperative outcomes up to one year after surgery were evaluated. Results: The mean estimated prostate volume (PV) in the TURP and TUERP group was 40±22 mL and 41±18 mL, respectively. There were no statistical differences in the baseline characteristics between the two groups. The mean operative time was significantly longer in the TUERP group (71.95±33.96 minutes versus 50.85±26.78 minutes; p=0.024). The average weight of prostate resected in the TUERP group was higher but not statistically significant (18.87±14.95 g versus 15.15±11.07 g; p=0.39). The volume of fluid irrigation collected postoperatively was significantly lower in the TUERP group (13.98±10.01 liter versus 24.73±21.90 liter; p=0.04). No statistically significant differences were noted between the two groups in terms of the postoperative IPSS, QoL, Q max, PSA, postoperative Hct, and the length of hospital stay. Conclusion: The present study compared the surgical outcomes between the TUERP and the TURP techniques performed in medium prostate sizes. The authors concluded that TUERP resulted in a greater prostate tissue removal and, importantly, better intraoperative bleeding control.