Back to Search Start Over

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

Authors :
Shelton, T. Max
Drake, Connor
Vasquez, Ruben
Rivera, Marcelino
Source :
Current Urology Reports; May2023, Vol. 24 Issue 5, p221-229, 9p
Publication Year :
2023

Abstract

Purpose 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. Summary: 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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
15272737
Volume :
24
Issue :
5
Database :
Complementary Index
Journal :
Current Urology Reports
Publication Type :
Academic Journal
Accession number :
163936976
Full Text :
https://doi.org/10.1007/s11934-023-01146-9