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Inverted-T Incision With Early Apical Release vs. Three-Lobe in Holmium Laser Enucleation of The Prostate
Sponsor: Benha University
Summary
Aim of the work is to compare the surgical efficacy and perioperative outcomes of the inverted-T incision with early apical release technique versus the standard three-lobe technique in patients undergoing Holmium Laser Enucleation of The prostate for Benign prostatic hyperplasia . Primary outcome : * Technical operative time (started from the activation of the holmium laser for enucleation of the prostate lobes and ending after completion of morcellation ) Secondary outcome: * Laser energy used. * Intraoperative blood loss (change in hemoglobin level). * Learning curve.
Official title: Inverted-T Incision With Early Apical Release Technique vs. Three-Lobe Technique in Holmium Laser Enucleation of The Prostate: A Comparative Study
Key Details
Gender
MALE
Age Range
50 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
140
Start Date
2026-03-20
Completion Date
2026-12-30
Last Updated
2026-06-11
Healthy Volunteers
No
Interventions
inverted-T with early apical release technique
Patients will undergo the inverted-T with early apical release technique. After a full-thickness incision is made at the 12 o'clock position, lateral horizontal incisions are made from the midline towards the sides, expanding the vertical incision to form the "T" shape. Then, early apical release is performed followed by dissection in the posterior plane. After that, the planes are conjoint with continued enucleation until the adenoma is totally separated.
standard three-lobe technique
Patients will undergo the standard three-lobe technique. After enucleation, adenoma will be morcellated in the bladder using a morcellator device. 3 way urethral catheter will be inserted at the end of the procedure. Laser settings, operative time and blood loss will be recorded for every case.
Locations (1)
Tanta University
Tanta, Egypt