Outcome and Patient Experiences After Transurethral Resection and Bipolar Enucleation of the Prostate - a Multi-center, Randomized Controlled Trial.

Title:

Outcome and patient experiences after transurethral resection and bipolar enucleation of the prostate - a multi-center, randomized controlled trial.

Introduction:

In the present project we will evaluate if bipolar enucleation of the prostate (BEEP) is associated with better urinary voiding outcome than transurethral resection (TURP), and if the patients' experiences differ between these two methods. We will also investigate the association between symptom relief and the amount of tissue removed in the surgical procedure.

Lower urinary tract symptoms (LUTS) are prevalent in ageing men. LUTS encompasses several conditions such as for instance bladder dysfunction and pelvic pain. One major cause of LUTS is benign prostate hyperplasia (BPH) and secondary to this benign prostatic obstruction (BPO). About 50% of men in their 50s have BPH and in men aged above 70 years the prevalence is around 80%. The prostatic gland is located distally to the urinary bladder and surrounds the urethra. With increasing size, the prostate can cause bladder outflow obstruction and urinary voiding problems, most often weak urinary stream and increased residual urine. Residual urine, meaning incomplete emptying of the bladder, can lead to infections and urinary retention. Over time, it may cause damage to the urinary bladder muscle and the kidneys due to increased bladder pressure. LUTS caused by a hypertrophied prostate can be managed with lifestyle changes, medication or surgery.