PD10-06 COMPARISON OF INCIDENTAL PROSTATE CANCER DETECTION BETWEEN HOLEP AND BIPOLAR TURP

INTRODUCTION AND OBJECTIVES:Holmium laser enucleation of the prostate (HoLEP) has become a popular alternative to TURP for the treatment of lower urinary tract symptoms (LUTS) secondary to benign prostate hyperplasia (BPH). Previous studies indicated that HoLEP may have a higher rate of incidental prostate cancer (iPCa) detection because of a more efficient tissue removed during surgery. However, some other studies reported it's identical for both procedures. In this study, we aim to evaluate whether the surgical procedure itself (HoLEP vs. TURP) influences iPCa detection by analysis of a large cohort of patients.METHODS:602 patients undergoing HoLEP (n = 292) or TURP (n = 312) were retrospectively analyzed for total PSA, prostate volume, PSA density, history of prostate biopsy, resected prostate weight, and histopathological features. IPSS, Qmax, PVR were also collected before and after surgery. Parameters were analyzed by Fisher's exact test and T test or Mann-Whitney U test for dichotomous and continuo...