Surgical management of benign prostatic hyperplasia by endoscopic techniques using electricity and open prostatectomy: A review of the literature by the LUTS committee of the French Urological Association
Delongchamps NB, Robert G, Descazeaud A, Cornu JN, Azzouzi AR, Haillot O, Devonec M, Fourmarier M, Ballereau C, Lukacs B, Dumonceau O, Saussine C, de la Taille A; Comité des troubles mictionnels de l'homme de l'association française d'urologie. Prog Urol. 2012 Feb;22(2):73-9. Epub 2011 Sep 16.


Service d'urologie, hôpital Cochin, CHU Cochin AP-HP, université Paris Descartes, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France.



To perform an update on the surgical treatment of benign prostatic hyperplasia (BPH) by endoscopic electric resection and vaporization, and by open prostatectomy.


A systematic review of recent literature was performed. The level of evidence of each report was evaluated, and only recent publications of high level of evidence were included.


Both monopolar transurethral resection of the prostate (TURP) and open prostatectomy remain the gold standards. Endoscopic electric alternatives are monopolar and bipolar prostate vaporisation as well as bipolar resection. These techniques seem to show similar functional results than TURP and open prostatectomy, as well as an advantage in terms of bleeding.