{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T18:09:25Z","timestamp":1789495765507,"version":"build-2803163510"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008386","name":"Marmara University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008386","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Lasers Med Sci"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the outcomes of laser enucleation techniques by evaluating the postoperative data of patients with benign prostate obstruction (BPO) undergoing ThuFLEP and HoLEP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included men\u2009&gt;\u200950 years with LUTS due to BPO who underwent HoLEP or ThuFLEP by a single experienced surgeon between January 2023 and January 2024. Patients were also stratified into subgroups according to prostate size (&lt;\u200980\u00a0g vs.\u2009\u2265\u200980\u00a0g). The primary outcome was to compare success rate, operative duration, and efficiency of HoLEP and ThuFLEP; secondary outcomes included safety profile, catheter removal time, and long-term complications (stress urinary incontinence and stricture).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 163 patients (HoLEP:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200994, ThuFLEP:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200969) were included. Median operation time was longer in ThuFLEP (100 vs. 90\u00a0min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). Enucleation ratio, surgical efficiency, haemoglobin drop, \u2206PVR, \u2206Qmax, and \u2206QoL were similar. IPSS improvement was greater in ThuFLEP (15 vs. 10 points,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.023). In prostates\u2009&gt;\u200980\u00a0g, ThuFLEP had longer operation and hospitalization times, but other perioperative and functional outcomes were comparable. Complication rates, catheterization time, and discharge duration were similar in all groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both HoLEP and ThuFLEP are safe and effective for BPH treatment. ThuFLEP shows slightly longer operative time, especially in larger prostates, while functional improvements and complication rates are comparable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10103-026-04857-w","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:16:17Z","timestamp":1776989777000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["HoLEP versus ThuFLEP: perioperative and functional outcomes in prostate enucleation"],"prefix":"10.1007","volume":"41","author":[{"given":"Ersin","family":"Gokmen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turker","family":"Altuntas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Yasir","family":"Sahak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamza Tunahan","family":"Midilli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunal","family":"Ozgur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamil","family":"Cam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tufan","family":"Tarcan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarik Emre","family":"Sener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"issue":"3","key":"4857_CR1","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1111\/j.1464-410X.2009.08427.x","volume":"104","author":"KS Coyne","year":"2009","unstructured":"Coyne KS et al (2009) The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the Epidemiology of LUTS (EpiLUTS) study. 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