Cargando…

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

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Shelton, T. Max, Drake, Connor, Vasquez, Ruben, Rivera, Marcelino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9936114/
https://www.ncbi.nlm.nih.gov/pubmed/36800115
http://dx.doi.org/10.1007/s11934-023-01146-9
_version_ 1784890167482384384
author Shelton, T. Max
Drake, Connor
Vasquez, Ruben
Rivera, Marcelino
author_facet Shelton, T. Max
Drake, Connor
Vasquez, Ruben
Rivera, Marcelino
author_sort Shelton, T. Max
collection PubMed
description 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.
format Online
Article
Text
id pubmed-9936114
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Springer US
record_format MEDLINE/PubMed
spelling pubmed-99361142023-02-17 Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy Shelton, T. Max Drake, Connor Vasquez, Ruben Rivera, Marcelino Curr Urol Rep Benign Prostatic Hyperplasia (J Silberstein and C Benson, Section Editors) 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. Springer US 2023-02-17 2023 /pmc/articles/PMC9936114/ /pubmed/36800115 http://dx.doi.org/10.1007/s11934-023-01146-9 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Benign Prostatic Hyperplasia (J Silberstein and C Benson, Section Editors)
Shelton, T. Max
Drake, Connor
Vasquez, Ruben
Rivera, Marcelino
Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy
title Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy
title_full Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy
title_fullStr Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy
title_full_unstemmed Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy
title_short Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy
title_sort comparison of contemporary surgical outcomes between holmium laser enucleation of the prostate and robotic-assisted simple prostatectomy
topic Benign Prostatic Hyperplasia (J Silberstein and C Benson, Section Editors)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9936114/
https://www.ncbi.nlm.nih.gov/pubmed/36800115
http://dx.doi.org/10.1007/s11934-023-01146-9
work_keys_str_mv AT sheltontmax comparisonofcontemporarysurgicaloutcomesbetweenholmiumlaserenucleationoftheprostateandroboticassistedsimpleprostatectomy
AT drakeconnor comparisonofcontemporarysurgicaloutcomesbetweenholmiumlaserenucleationoftheprostateandroboticassistedsimpleprostatectomy
AT vasquezruben comparisonofcontemporarysurgicaloutcomesbetweenholmiumlaserenucleationoftheprostateandroboticassistedsimpleprostatectomy
AT riveramarcelino comparisonofcontemporarysurgicaloutcomesbetweenholmiumlaserenucleationoftheprostateandroboticassistedsimpleprostatectomy