Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy

dc.contributor.authorShelton, T. Max
dc.contributor.authorDrake, Connor
dc.contributor.authorVasquez, Ruben
dc.contributor.authorRivera, Marcelino
dc.contributor.departmentUrology, School of Medicine
dc.date.accessioned2023-10-25T12:59:15Z
dc.date.available2023-10-25T12:59:15Z
dc.date.issued2023
dc.description.abstractPurpose of review: This study reviews contemporary literature on RASP and HoLEP to evaluate perioperative outcomes, common complications, cost analytics, and future directions of both procedures. Recent findings: RASP is indicated for prostates > 80 mL, while HoLEP is size-independent. No notable differences were found in operative time, PSA nadir (surrogate for enucleation volume), re-catheterization rates, or long-term durability. Prolonged incontinence and bladder neck contracture rates are low for both surgeries. Patients experience similar satisfaction outcomes and improvements in uroflowmetry and post-void residual volumes. HoLEP demonstrates shorter hospitalizations, lower transfusion rates, lower costs, and higher rates of same-day discharge. RASP offers a shorter learning curve and lower rates of early postoperative urinary incontinence. HoLEP is a size-independent surgery that offers advantages for patients seeking a minimally invasive procedure with the potential for catheter-free same-day discharge. Future directions with single-port simple prostatectomy may offer parity in same-day discharge, but further research is needed to determine broader feasibility.
dc.eprint.versionFinal published version
dc.identifier.citationShelton TM, Drake C, Vasquez R, Rivera M. Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy. Curr Urol Rep. 2023;24(5):221-229. doi:10.1007/s11934-023-01146-9
dc.identifier.urihttps://hdl.handle.net/1805/36647
dc.language.isoen_US
dc.publisherSpringer Nature
dc.relation.isversionof10.1007/s11934-023-01146-9
dc.relation.journalCurrent Urology Reports
dc.rightsPublisher Policy
dc.sourcePMC
dc.subjectHolmium
dc.subjectLaser therapy
dc.subjectProstate
dc.subjectProstatectomy
dc.subjectProstatic hyperplasia
dc.subjectRobotic surgical procedures
dc.titleComparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy
dc.typeArticle
ul.alternative.fulltexthttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9936114/
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