Hemiprostatectomy; an Effective Option for Elderly Men with Benign Prostatic Hyperplasia Larger Than 200mls

Alhefnawy, Mohamed; Fathi, Basem; Zahran, Mohamed; Almekaty, Khaled

doi:10.21608/eju.2025.311130.1019

Hemiprostatectomy; an Effective Option for Elderly Men with Benign Prostatic Hyperplasia Larger Than 200mls

Document Type : Original Article

Authors

¹ Urology department, Benha University, Benha, Egypt

² Urology department, Al-Azhar university, Egypt

³ Mansoura Urology and Nephrology Centre, Mansoura University, Egypt

⁴ Urology Department, Tanta University, Egypt

10.21608/eju.2025.311130.1019

Abstract

• Objectives: To assess safety and efficacy of hemiprostatectomy in elderly men above 60 years with benign prostates more than 200mls in centers where laser and morcellators are not readily available.

• Methods: The records of such patients who underwent bipolar hemiprostatectomy between January 2013 and January 2022, all were retrieved and included in the study. Patients suspected for prostatic carcinoma or with prostate volume <200 mls were excluded. All patients came after 1, 3 and 6 months postoperatively for checking improvement in International Prostate Symptom Score (IPSS), maximum urinary flow rate (Qmax) and post-void residual urine volume (PVR) and report any complications.

• Results: Regarding efficacy of the technique, all micturation parameters improved at 1, 3 and 6 months postoperatively. The overall complication rate was 43.33%. Intraoperatively 2 patients developed hypertension, while postoperatively retention, heamaturia, residual adenoma requiring redo surgery, urethral stricture and meatal stenosis occurred in 3,4,2,1 and 1 patients respectively.

• Conclusions: Hemiprostatectomy seems to be a safe and effective option when prostatectomy is indicated in elderly men with large prostates and medical comorbidities, especially in centres where laser and morcellators are not readily available.

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