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Simple prostatectomy has been a mainstay of therapy for patients with benign prostate hyperplasia. In recent years, laparoscopic radical prostatectomy has emerged as a feasible treatment option for patients with localized prostate cancer. The advantages of laparoscopic procedures are minor surgical scars, shorter hospital stay, fewer analgesics utilization, and more rapid return to daily normal activities. We describe the use of laparoscopic resection of large hyperplastic prostate adenomas as an alternative to open prostatectomy. (J. Korean Continence Society 2007;11:74-78)