Der Urologe. Ausg. A
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Der Urologe. Ausg. A · Nov 2016
[Long-term outcome after endoscopic enucleation of the prostate : From monopolar enucleation to HoLEP and from HoLEP to EEP].
In the last 20 years various transurethral endoscopic enucleation techniques (EEP) have been established as a substitute for open prostatectomy (OP) and TURP. Since the 2016 update of the "EAU Guidelines on Management of Non-Neurogenic Male Lower Urinary Tract Symptoms (LUTS), including Benign Prostatic Obstruction (BPO)", Holmium laser enucleation of the prostate (HoLEP) and bipolar enucleation being summarized as anatomical enucleating techniques are proposed as first choice for the surgical management of BPO of large volume prostates. ⋯ Various transurethral EEP can be considered as equally safe and effective anatomical enucleation techniques. All displayed EEPs match the durability of OP. The choice of energy source for EEP seems to be secondary and a function of resources and personal preference of the skilled surgeon.