Back to Search
Start Over
Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy.
- 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