Laparoscopic access in retropubic adenomectomy versus traditional access. Little experience amidst a considerable one

Introduction. Infravesicular obstruction accounted by benign prostatic hyperplasia (BPH) is still among the most common diseases in senior men. Nowadays, transurethral resection is commonly used as a surgical intervention in treating patients with BPH, whose prostate volume is up to 80 cc. Open adenomectomy is a standard for treating patients with large size prostate adenoma. However, the main disadvantages of this method are severe surgical trauma and a high percentage of traumatic complications. Laparoscopic modification of adenomectomy is an adequate minimally invasive alternative to open surgical treatment of BPH. In case of large volumes of the prostate, the choice for adenomectomy is always upon the decision of a surgeon. The aim of our study was to evaluate the results of laparoscopic and open retropubic adenomectomy.