Surgical treatment of benign prostatic hyperplasia: Thulium enucleation versus single‐port transvesical robotic simple prostatectomy

Autor: Susan Talamini, Andrew Lai, Cassandra Palmer, Gabriel van deWalle, Marcin Zuberek, Simone Crivellaro
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BJUI Compass, Vol 4, Iss 5, Pp 549-555 (2023)
Druh dokumentu: article
ISSN: 2688-4526
DOI: 10.1002/bco2.261
Popis: Abstract Objective The objective of this work is to compare our outcomes using thulium laser enucleation of prostate (ThuLEP) to the single‐port robot‐assisted simple prostatectomy (SP RASP) in the surgical management of benign prostatic hyperplasia (BPH). Methods A retrospective cohort study was conducted from January 2017 through December 2021 of men who underwent SP RASP and ThuLEP performed by a single surgeon with an enucleation experience of >300 cases and extensive robotic experience. The primary outcome was changed in International Prostate Symptom Score (IPSS) postoperatively. Secondary outcomes were operative time, length of stay (LOS), change in post‐void residuals (PVR), de novo stress‐ or urge‐urinary incontinence (SUI, UUI), and rate of complications. Results One hundred two patients underwent surgery during the study period: 33 RASP and 69 ThuLEP. There was no difference in preoperative characteristics, including age and body mass index, between both groups. Changes in IPSS scores postoperatively were not significant between SP RASP versus ThuLEP (−17 vs. −14, p = 0.2956). SP RASP had a longer operative time (180 vs. 90 min, p
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