Same-Day Discharge Following Holmium Laser Enucleation in Patients Assessed to Have Large Gland Prostates (≥175 cc)

Assmus, Mark; Large, Tim; Lee, Matthew S.; Agarwal, Deepak; Rivera, Marcelino; Krambeck, Amy E.

doi:10.1089/end.2020.1218

Cited by 37 publications

(28 citation statements)

References 24 publications

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“…After full-text evaluations, we excluded 47 more articles that had failed to classify by prostate volume or specify a prostate volume >150 ml as cut-off regarding surgical outcomes. Our final review included the remaining 6 publications [ [18] , [19] , [20] , [21] , [22] , 25 ]. The 6 studies included 375 patients with prostate sizes >175 ml treated with laser-based EEP for symptomatic BPO.…”

Section: Resultsmentioning

confidence: 99%

“…All six focused on HoLEP procedure outcomes. Among them, three studies examined HoLEP outcomes for prostate sizes >200 ml [ [19] , [20] , [21] ], two studies evaluated the HoLEP outcomes of patients with prostate glands larger than 175 ml [ 18 , 22 ], one of the studies evaluated the HoLEP surgical outcomes of patients with a PV of 200–299 and ≥ 300 ml [ 25 ]. Table 2 shows intraoperative variables and perioperative complications according to prostate volume and the Clavien-Dindo classification.…”

Section: Resultsmentioning

confidence: 99%

“…In the literature, prostate sizes above 80–100 ml were defined as ‘large prostates’ and most studies on EEP are limited to these prostate sizes [ [13] , [14] , [15] , [16] , [17] ]. However, in clinical reality, prostate sizes exceeding not just the range of 80–100 ml, but also 150 ml, 175 ml and even 200 ml are encountered in considerable numbers [ [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] ]. The question whether such extremely large glands (>150 ml) should undergo EEP does not seem to be answered.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Laser enucleation of the prostate in men with very large glands ≥175 ml: A systematic review

Yılmaz

Karaaslan

Aybal³

et al. 2022

Annals of Medicine &Amp; Surgery

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laser enucleation of the prostate in men with very large glands ≥175 ml: A systematic review

Yılmaz

Karaaslan

Aybal³

et al. 2022

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

“…Recent literature has suggested that RARP and LEP are safe and feasible as sameday surgeries. [3][4][5][6] Our goal was to determine if there was a difference in POD-2.4. patient outcomes in RARP and LEP patients operated as same-day surgery vs. inpatient.…”

Section: Pod-24 Performing Urological Inpatient Procedures As Same-da...mentioning

confidence: 99%

Podium Session 2: Endourology

CUAJ¹

2022

CUAJ

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Introduction:As little data exists on the nature and causes of pain in nonobstructing renal stones, our objective was to assess how disease-specific factors, global patient characteristics, and personality traits influence perceived symptoms. Methods: After consent was obtained, patients completed a standardized history, physical exam, and questionnaire sets. Enrollment was 2:1 asymptomatic patients (AP) to symptomatic patients (SP) with computed tomography-confirmed calyceal stones ≤5 mm, without focal signs of obstruction. Descriptive statistics and Student's t-tests were used to characterize and compare groups. Results: Our primary analysis included 28 patients (8 SP, 20 AP). There were no significant differences in age, gender, household income, or prevalence of functional pain syndromes (i.e., 25% vs. 27% IBS, FM, IC, etc.). All (100%) SP had prior stone events (vs. 55% of AP). More AP endorsed chronic neck or back pain (25% vs. 12.5%), whereas SP reported worsened pain with physical activity (50% vs. 30%) and used more daily pain medication (62.5% vs 25%). Standardized assessment tools for pain and psychometric contributors showed SP have significantly higher Body Pain Index (12.2 vs. 43.3, p=0.005), and Pain Disability Index scores (5.9 vs. 23.8, p=0.004). SP also scored higher on catastrophizing (15.2 vs. 31.7, p=0.008), and kinesiophobia inventories (29.5 vs. 40.3, p=0.014). No significant differences were noted in the Modified Somatic Perception Questionnaire, or Hospital Anxiety and Depression Scale. The Wisconsin Stone QoL tool did not differ between groups, however, the more generalized 15D QoL tool showed a decreased overall health-related quality of life in SP (20.3 vs. 26.8, p=0.05). Conclusions: Our preliminary analysis of the SNORC cohort identifies potential psychometric contributors to symptomatic complaints related to stone disease. Future studies based on these findings will attempt to further define this challenging population.

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“…In another trial, HoLEP SDS was tested for patients with exceptionally large glands at least 175 cm 3 . The retrospective study by Assmus et al [ 12 ], including 55 patients, demonstrated a failure rate of 16%. Although this is higher than reported in other studies, it seems acceptable considering the large prostate volume.…”

Section: Same-day Surgerymentioning

confidence: 99%

Electrosurgery or laser for benign prostatic enlargement: trumpcard or pitfalls

Pallauf

Herrmann

Oswald

et al. 2021

Current Opinion in Urology

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Purpose of review To summarize and comment on publications of the last 2 years in the field of endoscopic surgery for benign prostatic enlargement, focusing on similarities and differences of laser and electrosurgery. Recent findings Because of good hemostasis and safety, invasive endoscopic surgery has evolved to a choice of treatment for vulnerable patients with ongoing antithrombotic medication and in same-day surgery. Recent publications show a good perioperative course and no deterioration in the postoperative outcome. Furthermore, alterations to the original surgical techniques of resection, enucleation, and vaporization have increased the preservation rate for antegrade ejaculation, advancing them to an appealing choice of treatment for sexually active men. Favorable outcomes can be achieved in both laser and electrosurgery. Only the choice of the surgical technique determines the outcome. Summary Various invasive endoscopic surgical techniques are available, offering different advantages and disadvantages for the patient. All of them can be performed with laser and electrosurgery. Therefore, focusing on the proper choice of surgical technique instead of the energy source will guarantee the patient to benefit most.

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Same-Day Discharge Following Holmium Laser Enucleation in Patients Assessed to Have Large Gland Prostates (≥175 cc)

Cited by 37 publications

References 24 publications

Laser enucleation of the prostate in men with very large glands ≥175 ml: A systematic review

Laser enucleation of the prostate in men with very large glands ≥175 ml: A systematic review

Podium Session 2: Endourology

Electrosurgery or laser for benign prostatic enlargement: trumpcard or pitfalls

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