October 8, 2025Scientific ReportsOpen Access

Clinical comparison of TURP, PVP and holep for small volume BPH

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Discussion

Retrospective analysis reveals TURP has higher urinary incontinence and bladder neck contracture rates compared to PVP and HoLEP.

TURP was associated with significantly higher rates of urinary incontinence within one month post-surgery, indicating a need for caution in its use.
The incidence of bladder neck contracture was notably higher in the TURP group at 9.4%, while the rates for PVP and HoLEP were 4.8% and 5.7%, respectively.
PVP and HoLEP demonstrated similar efficacy and safety profiles, with PVP providing the shortest operative time among the three techniques.
Independent risk factors for urinary incontinence were identified as preoperative catheterization, severe detrusor pressure, and undergoing TURP.

Hu et al. (2025) studied this question.

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