الفهرس 
Introduction and aim of the workOnly 14 pages are availabe for public view
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Abstract
The most common cause ot abnormal VOiding symptoms In men over the age of 40 years, resulting in clinically significant symptoms in 10% to 20% of patients (Mebust et al., 1989). .TURP remains the mainstay of treating symptoms secondary to bladder outflow obstruction with subjective and objective success rates of . 85% to 90%. Although success rates are excellent, threatening morbidity r is associated with the procedure. These include bleeding, transurethral resection syndrome, infection, retrograde ejaculation impotence and urinary incontinence (Holtgrewe et al., 1989). In an attempt to reduce and avoid the morbidity associated with this procedure, a number of minimally invasive therapeutic alternative treatments have been reported in the literature. Our study was designed to evaluate the safety and efficacy of Rotoresect as an alternative to TURP for treatment of BOO secondary to BPH. Thirty patients were subjected to Retoresection of the prostate and followed up for 6 months postoperatively. All patients have had significant improvement in both symptoms and urodynamic parameters. The mean AU A symptom score showed sjgnificant improvement from 20.5 :t 3 8 before Rotoresectjon to 2.1 :t 2.9; J :t 1.8 and 0 values at 1; 3 and 6 months follow up consequtively. Moreover, the mean value of Q max increased from 8.7 :t 2.1ml/sec preoperatjvely to 21.9 :t 9.3, 20.9 ~ 8.3 and 25.5 :t 12.3ml/sec at 1,3 and 6 months postoperatjvely. These results were comparable to those of conventional TURP. At the same time rotoresectjon was associated with significant reduced morbidity. Based on our preliminary findings, Rotoresection is a potentially useful, safe and versatile technique in the therapeutjc armamentarium of BPH. However, the need for further evaluation including larger number of patients for longer term follow up in a randomized way against TURP is warranted.