Bipolar Enucleation of the Prostate Versus Bipolar TURP

Bipolar enucleation of the prostate (BEEP) was introduced to treat patients with large prostate. The study compared the functional outcomes and perioperative complications of bipolar TURP and bipolar enucleation of large prostates above 80 gm.

Inclusion Criteria: * All male patients above the age of 40 years who presented to the urology clinic in Ain Shams university hospitals with BPH with prostate size 80 - 120 g and have any of the following criteria: * Voiding symptoms that are poorly responsive to medical treatment (IPSS more than 18 and Qmax less than 15 ml/sec) * Persistent or recurrent attacks of urine retention due to BPH. * Large bladder stones from BPH. * Recurrent UTI due to BPH. * Severe gross hematuria from BPH. Exclusion Criteria: * Patients with untreated or active UTI. * Previous pelvic radiation or pelvicl trauma. * Patients with anesthesia contraindications such as uncontrolled diabetes mellitus, severe coagulation disorders and severe cardiac diseases. * Known or suspected neurogenic bladder. * Urethral stricture or urethral cancer.