The incidence of urethral stricture and bladder neck contracture with transurethral resection vs. holmium laser enucleation of prostate: A matched, dual-center study

Elsaqa, Mohamed; Serag, Mohamed; Leelani, Navid; Elsawy, Moustafa; Sakr, Mostafa A.; Youssif, Tamer Abou; Rashad, Hazem; Tayeb, Marawan M. El

doi:10.5489/cuaj.7967

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…Elsaqa et al [25] reported in their dual center study a development of BNC in 1.87% of HoLEP patients. In their 18-year experience with over 1400 patients and median follow-up of 9 years, Ibrahim et al [26] reported BNC in 2.1% of their patients.…”

Section: Bladder Neck Contracturementioning

confidence: 95%

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

et al. 2023

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Purpose of ReviewThis 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.

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Section: Bladder Neck Contracturementioning

confidence: 95%

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

et al. 2023

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Imaging in urethral stricture disease: an educational review of current techniques with a focus on MRI

et al. 2023

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Incidence and management of BPH surgery-related urethral stricture: results from a large U.S. database

Licari,

Bologna,

Manfredi

et al. 2024

Prostate Cancer Prostatic Dis

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Introduction and objectives:Urethral stricture (US) is a well-known complication after surgical treatment of benign prostatic hyperplasia (BPH), whose treatment options range from conservative or endoscopic approaches to more invasive ones. This study aimed to evaluate the contemporary incidence of US after different types of BPH surgery, to identify associated risk factors and to assess its management. MethodsA retrospective analysis was conducted using the PearlDiver™ Mariner database, containing de-identi ed patient records compiled between 2011 and 2022. Speci c International Classi cation of Diseases (ICD) and Current Procedural Terminology (CPT) codes were employed to identify population characteristics and outcomes. All the most employed surgical procedures for BPH treatment were considered.Multivariable logistic regression was employed to evaluate factors associated with diagnosis of post-operative US. ResultsAmong 274,808 patients who underwent BPH surgery, 10,918 developed post-operative US (3.97%). Higher incidence of US was observed following TURP (4.48%), Transurethral Incision of the Prostate (TUIP) (3.67%), Photoselective Vaporization of the Prostate (PVP) (3.92%), HoLEP/ThuLEP (3.85%), and open Simple Prostatectomy (SP) (3.21%). Lower incidence rates were observed after Robot-assisted SP (1.76%), Aquablation (1.59%), Prostatic Urethral Lift (PUL) (1.07%), Rezum (1.05%), and Prostatic Artery Embolization (PAE) (0.65%). Multivariable analysis showed that patients undergoing PUL, Rezum, Aquablation, PAE and PVP were associated with a reduced likelihood of developing US compared to TURP. US required surgical treatment in 18.95% of patients, with direct visual internal urethrotomy (DVIU) and urethroplasty performed in 14.55% and 4.50% of cases, respectively. Urethral dilatation (UD) was the primary management in most cases (76.7%). ConclusionsThe present analysis from a contemporary large dataset suggests that the incidence of US after BPH surgery is relatively low (< 5%) and varies among procedures. Around 94% of US cases following BPH surgery are managed using minimally invasive treatment approaches such as UD and DVIU.

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The incidence of urethral stricture and bladder neck contracture with transurethral resection vs. holmium laser enucleation of prostate: A matched, dual-center study

Cited by 3 publications

References 16 publications

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

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

Imaging in urethral stricture disease: an educational review of current techniques with a focus on MRI

Incidence and management of BPH surgery-related urethral stricture: results from a large U.S. database

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