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During surgery a specially designed trocar (18 Fr) was placed suprapubically and connected to a suction pump to maintain stable low-pressure conditions. After sample size calculations, long-term follow-up was completed for 70 invited patients in each group up to 9\/2015.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Follow-up period was 57 vs. 56\u00a0months for group 1 and 2, respectively (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.56). At baseline there was no significant difference in age, IPSS, peak flow, and post void residual (PVR). Mean prostate volume was 47\u00a0cc (15\u201365) vs. 100\u00a0cc (70\u2013163). Mean operating time was 55.4 vs. 82.6\u00a0min (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.00). Blood transfusion was necessary in 0.0 vs. 2.9% (p\u00a0=\u00a00.16), and 0.0 vs. 1.4% developed TUR syndrome (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.32). At follow-up mean relative improvement in IPSS was 63 vs. 57% (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.29), QoL 64 vs. 64% (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.93), peak flow 139 vs. 130% (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.85), and PVR 58 vs. 63% (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.80). Long-term complications included recurring adenoma in 1.4 vs. 4.3% (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.31), and stricture in 7.2 vs. 5.8% (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.73). 1 patient in each group reported worsening incontinence symptoms.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>In terms of safety and efficacy, the aforementioned modality of standardized monopolar TURP using suprapubic suction was non-inferior for prostates\u00a0&gt;\u00a070\u00a0cc compared to the same procedure for prostates\u00a0&lt;\u00a070\u00a0cc. This technique is a potential low-cost alternative for clinics that cannot afford modern laser approaches.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Study register number<\/jats:title>\n                <jats:p>DRKS00006527.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00345-017-2162-x","type":"journal-article","created":{"date-parts":[[2018,1,5]],"date-time":"2018-01-05T22:49:22Z","timestamp":1515192562000},"page":"449-457","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Low-pressure monopolar electroresection of the prostate for glands sized\u00a0&gt;\u00a070 vs.\u00a0&lt;\u00a070\u00a0cc performed with continuous irrigation and suprapubic suction: perioperative and long-term outcome"],"prefix":"10.1007","volume":"36","clinical-trial-number":[{"clinical-trial-number":"drks00006527","registry":"10.18810\/drks"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2634-1095","authenticated-orcid":false,"given":"Konrad","family":"Wilhelm","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioana Maria","family":"Cazana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Schoenthaler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arndt","family":"Katzenwadel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Spaeth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arkadiusz","family":"Miernik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2018,1,6]]},"reference":[{"key":"2162_CR1","doi-asserted-by":"publisher","first-page":"1099","DOI":"10.1016\/j.eururo.2014.12.038","volume":"67","author":"C Gratzke","year":"2015","unstructured":"Gratzke C, Bachmann A, Descazeaud A et al (2015) EAU guidelines on the assessment of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction. 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AM was a consultant in contract with Schoelly GmbH, Denzlingen. The other authors declare that they have no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Ethical approval has been granted by the Ethic committee University Medical Center Freiburg (309\/14).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}