En-bloc endoscopic enucleation of the prostate: a systematic review of the literature

Transurethral resection of the prostate (TURP) remains the gold standard for treatment of BPH. Yet, the introduction of lasers for the treatment of LUTS due to BPO has dramatically changed the surgical landscape of BPO treatment. Recently, 'en bloc' techniques have shown to prove advantageous in terms of better visualization, more prompt identification of the surgical capsule and the correct plane to dissect. Herein we provide a comprehensive overview of available series of "en bloc" enucleation of the prostate, focusing on surgical techniques, perioperative and functional outcomes.