Objective To compare laser prostatectomy, using both side-fire and con
tact lasers, with transurethral resection of the prostate (TURP) to id
entify the advantages and disadvantages of all three in the short-and
longterm (1 year). Patients and methods Forty patients were randomized
into one of four groups undergoing TURP, side-fire laser prostatectom
y alone, side-fire with debridement and contact laser prostatectomy. S
trict entry criteria ensured that no patients with malignancy were sel
ected. The patients were reviewed after 3, 6 and 12 months. Results Th
e duration of operation and length of hospital stay were significantly
shorter in those undergoing laser side-fire treatment than those unde
rgoing TURP.