title: Laparoscopic simple prostatectomy: A reasonable option for large prostatic adenomas.
abstract: OBJECTIVE
  In this work, surgical technique followed by two academic departments on laparoscopic simple prostatectomy (LSP) of large prostatic adenomas is being described.
  
  
  METHODS
  The initial cumulative experience from 11 patients with lower urinary tract symptoms of benign prostatic hyperplasia origin subjected to LSP is being presented.
  
  
  RESULTS
  All cases had prostatic adenomas greater than 80 ml. Mean operation time was 99.5 min (values from 70 to 150 min) and mean blood loss was 205 ml (values from 100 to 300 ml). Blood transfusion was deemed necessary in one case. Bladder catheter was removed successfully on postoperative day 5 in all cases. No significant postoperative complication was noted. At a 3 months follow-up a significant decrease in International Prostate Symptom Score (IPSS) was evident in all patients (mean IPSS 27.7 vs. 15.3 preoperative vs. postoperative accordingly).
  
  
  CONCLUSIONS
  According to our data and similarly to the rest of the LSP literature, laparoscopic excision of voluminous prostatic adenomas is a feasible and safe procedure. Nevertheless, further investigation including a larger number of patients and long-term follow-up is deemed necessary before making definite conclusions regarding the approach.
authors.affiliation: Department of Urology, Armed Forces Hospital Southern Region, Khamis Mushait, Kingdom of Saudi Arabia.
authors.forename: Abdulrahman
authors.initials: A
authors.lastname: Al-Aown
authors.affiliation: Department of Urology, University of Patras, Greece.
authors.forename: Evangelos
authors.initials: E
authors.lastname: Liatsikos
authors.affiliation: Department of Urology, University of Patras, Greece.
authors.forename: Vasileios
authors.initials: V
authors.lastname: Panagopoulos
authors.affiliation: Department of Urology, University of Patras, Greece.
authors.forename: Iason
authors.initials: I
authors.lastname: Kyriazis
authors.affiliation: Department of Urology, University of Patras, Greece.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Kallidonis
authors.affiliation: Department of Urology, University of Patras, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Georgiopoulos
authors.affiliation: Department of Urology, University of Patras, Greece.
authors.forename: Marinos
authors.initials: M
authors.lastname: Vasilas
authors.affiliation: Department of Urology, University of Leipzig, Germany.
authors.forename: Stolzenburg
authors.initials: S
authors.lastname: Jens-Uwe
keywords: Adenomectomy; benign prostatic hyperplasia; bladder outlet obstruction; laparoscopic simple prostatectomy