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Overall, regardless of the energy employed, en bloc prostatic enucleation achieved favourable outcomes including low risk of major complications and quality of life improvement. However, a great heterogeneity of study design, patients' inclusion criteria, prostate volume and en bloc surgical strategy was found. CONCLUSIONS En bloc endoscopic enucleation of the prostate has been shown to be technically feasible and safe, with potential technical advantages over the classic three-lobe technique. Larger comparative studies are needed to eva