Rotoresection Versus Transurethral Resection of the Prostate: Short-Term Evaluation of a Prospective Randomized Study

Purpose: We compared in a prospective fashion the short-term outcome of rotoresection to transurethral resection of the prostate.Materials and Methods: A total of 50 patients with bladder outlet obstruction secondary to benign prostatic hyperplasia were randomized into 2 groups, rotoresection and transurethral resection of the prostate. Mean ± SD patient age was 60.76 ± 5.85 years in the rotoresection and 64.24 ± 6.84 in the transurethral resection groups. All patients had an International Prostate Symptom Score of 8 or more, maximum free flow rate less than 15 ml per second, prostate volume 20 to 100 ml and prostate specific antigen 1 to 4 ng/ml. Pressure flow study revealed bladder outlet obstruction (Schafer’s grade 3 or more). Patients were assessed at 1, 3 and 6 months by International Prostate Symptom Score, maximum free flow rate, transrectal ultrasound, pressure flow study, hemoglobin and urinalysis.Results: At 6 months International Prostate Symptom Score decreased from 26.2 ± 4.06 to 5.32 ± 1.52...