VIDEO ANSWER
TURP: understanding the risk of another operation
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How to interpret retreatment figures
Retreatment rates depend on what counts as another intervention and on the follow-up period. A percentage without a stated follow-up cannot be directly compared with rates at five or ten years.
At five years, Epic Cosmos (2026) reported surgical retreatment of 4.4% for HoLEP/ThuLEP combined and 7.1% for TURP. This is an unadjusted observational comparison between groups; it does not establish superiority for every patient.
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It's a technique that most urologists know and have mastered. The problem is in larger prostates, resection is incomplete by definition, almost by definition, and the 10-year reoperation rate is between 15 and 20%. In other words, for every five or six patients who undergo a transurethral resection, one will need surgery again.