Preoperative Anxiety and Surgical Fear in Holmium Laser Enucleation of the Prostate and Transurethral Resection of the Prostate Patients With Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (BPH) is a common condition in older men and may cause bothersome lower urinary tract symptoms that can negatively affect quality of life. Surgical treatment with Holmium Laser Enucleation of the Prostate (HoLEP) or Transurethral Resection of the Prostate (TURP) is often recommended when medical therapy is insufficient. This prospective observational study aims to evaluate whether preoperative anxiety, depression, and surgical fear influence postoperative functional outcomes, urinary continence, erectile function, and patient satisfaction in patients undergoing HoLEP or TURP for BPH. Participants will complete validated psychological and functional questionnaires before surgery and during postoperative follow-up visits at 1 and 3 months. The study will also assess changes in psychological status after surgery and compare outcomes between HoLEP and TURP patients. The findings may help improve preoperative patient counseling and identify patients who could benefit from additional psychological support before surgery.

Inclusion Criteria: * Male patients aged 50 years or older * Diagnosis of benign prostatic hyperplasia (BPH) * Scheduled to undergo HoLEP or TURP * Ability to understand and complete study questionnaires * Provided written informed consent Exclusion Criteria: * History of severe psychiatric disorder * Active psychiatric treatment * Neurogenic bladder or neurologic voiding dysfunction * Diagnosis of prostate cancer * Previous prostate surgery * Inability to comply with study procedures or follow-up visits