{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T01:09:08Z","timestamp":1789002548344,"version":"build-2803163510"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Background:<\/jats:title>\n A common disorder in men that has been linked to the natural aging process is benign prostatic hyperplasia (BPH). In men aged 70 and older, the frequency is approximately 40%.<\/jats:p>\n <\/jats:sec>\n \n Aims:<\/jats:title>\n In this study, we compared the results of bipolar transurethral resection of the prostate (TURP) with our experience using holmium laser enucleation of the prostate (HoLEP).<\/jats:p>\n <\/jats:sec>\n \n Settings and Design:<\/jats:title>\n The research was prospective and randomized. It was conducted from April 2024 to January 2025 to treat BPH.<\/jats:p>\n <\/jats:sec>\n \n Methodology:<\/jats:title>\n Fifty participants in total had taken part in the study. Patients were randomized using the odd-even method into two groups; Group A was administered with HoLEP, and Group B with bipolar TURP. Both groups were distributed equally, with 25 patients in each.<\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis:<\/jats:title>\n \n For statistical analysis, an independent\n t<\/jats:italic>\n -test was employed. Any\n P<\/jats:italic>\n value below 0.05 was considered statistically significant.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Operative time was 70.74 \u00b1 16.54 min in Group A, whereas 52.46 \u00b1 12.24 min in Group B. The operative time and capsular perforation were found to be statistically significant between the groups with a\n P<\/jats:italic>\n < 0.001 and 0.04, respectively. The International Prostate Symptom Score scores were 5.65 \u00b1 2.23 in Group A and 5.43 \u00b1 2.02 in Group B, respectively. Qmax was found to be 20.32 \u00b1 8.7 in Group A, while 18.66 \u00b1 5.45 in Group B.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n In the study, both HoLEP and TURP tend to be equally effective in terms of symptomatic relief. A steep learning curve has been seen along with less morbidity, which is associated with HoLEP.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ua.ua_55_25","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T16:00:20Z","timestamp":1768924820000},"page":"83-87","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of holmium laser enucleation of the prostate and bipolar transurethral resection of the prostate in relation to benign prostatic hyperplasia treatment"],"prefix":"10.4103","volume":"18","author":[{"given":"Ahsan","family":"Ahmad","sequence":"first","affiliation":[{"name":"Department of Urology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Ranjan","sequence":"additional","affiliation":[{"name":"Department of Urology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumar","family":"Dheeraj","sequence":"additional","affiliation":[{"name":"Department of Urology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Babelay","sequence":"additional","affiliation":[{"name":"Department of Urology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"R1-20260417","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/S0022-5347(17)40731-2","article-title":"Transurethral prostatectomy: Immediate and postoperative complications. 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Chapter 1: Diagnosis and treatment recommendations","volume":"170","year":"2003","journal-title":"J Urol"},{"key":"R3-20260417","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1177\/1756287213498923","article-title":"Holmium laser enucleation of the prostate: A paradigm shift in benign prostatic hyperplasia surgery","volume":"5","author":"Aho","year":"2013","journal-title":"Ther Adv Urol"},{"key":"R4-20260417","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.4321\/S0004-06142008000900009","article-title":"Current techniques for laser prostatectomy \u2013 PVP and HoLEP","volume":"61","author":"Aho","year":"2008","journal-title":"Arch Esp Urol"},{"issue":"2","key":"R5-20260417","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.eururo.2023.04.008","article-title":"Summary paper on the 2023 European Association of Urology guidelines on the management of non-neurogenic male lower urinary tract symptoms","volume":"84","author":"Gravas","year":"2023","journal-title":"European urology"},{"key":"R6-20260417","doi-asserted-by":"crossref","first-page":"1773","DOI":"10.1097\/01.ju.0000113494.03668.6d","article-title":"A systematic review of holmium laser prostatectomy for benign prostatic hyperplasia","volume":"171","author":"Tooher","year":"2004","journal-title":"J Urol"},{"key":"R7-20260417","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1016\/S0022-5347(05)64475-8","article-title":"Transurethral holmium laser enucleation versus transvesical open enucleation for prostate adenoma greater than 100 gm.:: A randomized prospective trial of 120 patients","volume":"168","author":"Kuntz","year":"2002","journal-title":"J Urol"},{"key":"R8-20260417","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.eururo.2006.04.002","article-title":"A randomised trial comparing holmium laser enucleation versus transurethral resection in the treatment of prostates larger than 40 grams: Results at 2 years","volume":"50","author":"Wilson","year":"2006","journal-title":"Eur Urol"},{"key":"R9-20260417","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.urology.2005.06.006","article-title":"Holmium laser enucleation of the prostate: A size-independent new \u201cgold standard\u201d","volume":"66","author":"Elzayat","year":"2005","journal-title":"Urology"},{"key":"R10-20260417","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1097\/MOU.0b013e32831a7008","article-title":"Holmium laser enucleation of the prostate and holmium laser ablation of the prostate: Indications and outcome","volume":"19","author":"Suardi","year":"2009","journal-title":"Curr Opin Urol"},{"key":"R11-20260417","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.1016\/S0022-5347(05)00645-2","article-title":"Holmium laser enucleation of the prostate in patients on anticoagulant therapy or with bleeding disorders","volume":"175","author":"Elzayat","year":"2006","journal-title":"J Urol"},{"key":"R12-20260417","first-page":"165","article-title":"Holmium laser enucleation of the prostate (HoLEP) versus transurethral resection of the prostate (TURP)","volume":"42","author":"Barboza","year":"2015","journal-title":"J Braz Coll Surg"},{"key":"R13-20260417","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1089\/end.2011.0059","article-title":"Holmium laser enucleation versus bipolar resection of the prostate: A prospective randomized study. Which to choose?","volume":"25","author":"Fayad","year":"2011","journal-title":"J Endourol"},{"key":"R14-20260417","doi-asserted-by":"crossref","first-page":"15","DOI":"10.23950\/jcmk\/13129","article-title":"A comparative study between HoLEP and bipolar TURP in the treatment of benign prostatic hyperplasia","volume":"20","author":"Galeti","year":"2023","journal-title":"J Clin Med Kazakhstan"},{"key":"R15-20260417","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.juro.2012.08.087","article-title":"A prospective, randomized clinical trial comparing plasmakinetic resection of the prostate with holmium laser enucleation of the prostate based on a 2-year followup","volume":"189","author":"Chen","year":"2013","journal-title":"J Urol"},{"key":"R16-20260417","doi-asserted-by":"crossref","first-page":"159","DOI":"10.4236\/oju.2017.79019","article-title":"Is HoLEP the only gold standard for surgical management of benign prostatic hyperplasia?","volume":"7","author":"Mir","year":"2017","journal-title":"Open J Urol"}],"container-title":["Urology Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ua.ua_55_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:26:02Z","timestamp":1786724762000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ua.ua_55_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ua.ua_55_25","relation":{},"ISSN":["0974-7796","0974-7834"],"issn-type":[{"value":"0974-7796","type":"print"},{"value":"0974-7834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-04-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}