Comparison of Perioperative Outcomes between Holmium Laser Enucleation of the Prostate and Robot-Assisted Simple Prostatectomy

Mimi W. Zhang, Marawan M. El Tayeb, Michael S Borofsky, Casey A. Dauw, Kristofer R. Wagner, Patrick S. Lowry, Erin T. Bird, Tillman C. Hudson, James E. Lingeman

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objectives: To compare perioperative outcomes for patients undergoing holmium laser enucleation of the prostate (HoLEP) and robotic-assisted simple prostatectomy (RSP) for benign prostatic hypertrophy (BPH). Methods: Patient demographics and perioperative outcomes were compared between 600 patients undergoing HoLEP and 32 patients undergoing RSP at two separate academic institutions between 2008 and 2015. Results: Patients undergoing HoLEP and RSP had comparable ages (71 vs 71, p = 0.96) and baseline American Urological Association Symptom Scores (20 vs 24, p = 0.21). There was no difference in mean specimen weight (96 g vs 110 g, p = 0.15). Mean operative time was reduced in the HoLEP cohort (103 minutes vs 274 minutes, p < 0.001). Patients undergoing HoLEP had lesser decreases in hemoglobin, decreased transfusions rates, shorter hospital stays, and decreased mean duration of catheterization. There was no difference in the rate of complications Clavien grade 3 or greater (p = 0.33). Conclusions: HoLEP and RSP are both efficacious treatments for large gland BPH. In expert hands, HoLEP appears to have a favorable perioperative profile. Further studies are necessary to compare long-term efficacy, cost, and learning curve influences, especially as minimally invasive approaches become more widespread.

Original languageEnglish (US)
Pages (from-to)847-850
Number of pages4
JournalJournal of Endourology
Volume31
Issue number9
DOIs
StatePublished - Sep 1 2017

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Solid-State Lasers
Prostatectomy
Prostate
Robotics
Prostatic Hyperplasia
Learning Curve
Operative Time
Catheterization
Length of Stay
Hemoglobins
Hand
Demography
Weights and Measures
Costs and Cost Analysis

Keywords

  • benign prostatic hyperplasia
  • laser
  • robotics

PubMed: MeSH publication types

  • Comparative Study
  • Journal Article

Cite this

Comparison of Perioperative Outcomes between Holmium Laser Enucleation of the Prostate and Robot-Assisted Simple Prostatectomy. / Zhang, Mimi W.; El Tayeb, Marawan M.; Borofsky, Michael S; Dauw, Casey A.; Wagner, Kristofer R.; Lowry, Patrick S.; Bird, Erin T.; Hudson, Tillman C.; Lingeman, James E.

In: Journal of Endourology, Vol. 31, No. 9, 01.09.2017, p. 847-850.

Research output: Contribution to journalArticle

Zhang, MW, El Tayeb, MM, Borofsky, MS, Dauw, CA, Wagner, KR, Lowry, PS, Bird, ET, Hudson, TC & Lingeman, JE 2017, 'Comparison of Perioperative Outcomes between Holmium Laser Enucleation of the Prostate and Robot-Assisted Simple Prostatectomy', Journal of Endourology, vol. 31, no. 9, pp. 847-850. https://doi.org/10.1089/end.2017.0095
Zhang, Mimi W. ; El Tayeb, Marawan M. ; Borofsky, Michael S ; Dauw, Casey A. ; Wagner, Kristofer R. ; Lowry, Patrick S. ; Bird, Erin T. ; Hudson, Tillman C. ; Lingeman, James E. / Comparison of Perioperative Outcomes between Holmium Laser Enucleation of the Prostate and Robot-Assisted Simple Prostatectomy. In: Journal of Endourology. 2017 ; Vol. 31, No. 9. pp. 847-850.
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