Challenging the Gold Standard Transurethral Resection of the Prostate with Holmium Laser Enucleation in the Treatment of Benign Prostatic Hyperplasia: Paradigm Shift in Northern Cyprus

Abstract

Benign prostatic hyperplasia (BPH) is a common condition among men over the age of 50, which can significantly impact their quality of life. Transurethral Resection of the Prostate (TURP) has long been considered the gold standard for the surgical treatment of BPH because of its effectiveness and integration into urology training. However, in recent years, Holmium Laser Enucleation of the Prostate (HoLEP) has gained popularity owing to reduced bleeding, shorter hospitalization, and faster recovery times. This study aimed to evaluate the transition from TURP to HoLEP among urologists at Burhan Nalbantoğlu State Hospital by analyzing learning curves, complication rates, and patient outcomes. The study results suggest that HoLEP offers several advantages over TURP, including shorter hospital stay and lower postoperative complications, although it requires significant training and investment. Overall, this study supports HoLEP as a promising alternative to TURP, reflecting a shift in the paradigm of BPH management.