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7 points; 95% confidence interval (CI) -4.8, 1.4] but Qmax improvements favored WAVE [MD 3.4ml/sec; CI 1.2, 5.6]. The proportion free of retreatment through 4years was 89.1% for WAVE versus 75.4% for PUL [log-rank P = 0.004]. PUL and WAVE provide similar subjective improvements but flow-rate improvement and durability of response seem greater for WAVE. The confirmation of these findings in a randomized trial is warranted. PUL and WAVE provide similar subjective improvements but flow-rate improvement and durability of response seem great