of >1.8 mg/mL were excluded. The adenoma was resected using the Rotoresect® system (Karl Storz, Tuttlingen, Germany); the mean ( SD ) operative duration was 45.2 (9.9) min. The catheter was removed after 1.97 (0.3) days and patients assessed at 1, 3 and 6 months after surgery by an AUA score, Q max , blood haemoglobin level, urine analysis and transrectal ultrasonography; all patients but two completed the follow-up. RESULTSAt 6 months the mean ( SD ) AUA score decreased from 20.5 (3.8) to 1.6 (1.3), the Q max increased from 8.7 (2) to 25.3 (12.6) mL/s, and the total prostate volume decreased from 36.5 (13) to 20.5 (7.8) mL. The mean initial haemoglobin level was 138 (10) g/L and at 1 month was 135 (12) g/L. No patient required a blood transfusion or had signs of transurethral resection syndrome. Early complications included UTI and mild stress incontinence in 10 and 11 patients, respectively. At 6 months these patients had sterile urine and were continent. Two patients had a urethral stricture and posterior urethral stone at 6 months and were treated successfully. CONCLUSIONIn the short-term, rotoresection is a safe and effective method for treating BPH; there was no significant blood loss or resection syndrome. The hospital stay was short, with excellent functional results.

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