AB205. Open prostatectomy vs. laparoscopic prostatectomy for benign prostatic hyperplasia with large volume prostate: a meta-analysis

Objective To compare laparoscopic prostatectomy with open prostatectomy for benign prostatic hyperplasia with large volume. Methods The literature was identified systematically using Medline, Embase. Meta-analysis was performed by Review Manager 5.0. Results Three CCTs were included. There was no difference between LP and OP in terms of IPSS, Qmax. LP was associated with significantly less blood loss, a shorter irrigation, catheterization and hospital stay time except longer operating time. LP and OP were similar in terms of urethral stricture, incontinence, transfusion requirement and rate of reintervention. Conclusions LP served a significant improvement in IPSS, Qmax as well as OP. Although more operating time and less resected tissue, LP has several advantages over OP. It was as safe as OP in terms of adverse events.