En bloc and two-lobe techniques for laser endoscopic enucleation of the prostate: retrospective comparative analysis of peri- and postoperative outcomes

Objectives Various techniques can be used for endoscopic enucleation of the prostate (EEP): removal of all nodes as a single unit (en bloc) or a step-by-step removal of adenomatous nodes (two- and three-lobe techniques). The objective of this study was to perform a comparative analysis of en bloc and two-lobe techniques for holmium laser enucleation of the prostate (HoLEP) and thulium fiber laser enucleation of the prostate (ThuFLEP). Methods Retrospective assessment included patients with bladder outlet obstruction (IPSS > 20, Qmax 150 cc (2.8 ± 1.1 g/min vs 3.7 ± 2.3 g/min; p 150 cc. The choice of the technique should depend on surgeon’s preferences.