Holmium laser enucleation versus laparoscopic simple prostatectomy for large XXXX .

@entity1 @entity23008 @entity652 @entity7634
OBJECTIVE: The aim of this study is to compare Holmium laser enucleation of the prostate with another minimally invasive technique, the laparoscopic simple prostatectomy. MATERIALS AND METHODS: We compared  outcomes of a series of 40 @entity1 who underwent laparoscopic simple prostatectomy (n=20) with laser enucleation of the prostate (n=20) for large @entity652 (>100grams) at our institution. Study variables included operative time and catheterization time, hospital stay, pre- and post-operative International Prostate Symptom Score and maximum urinary flow rate, complications and economic evaluation. Statistical analyses were performed using the Student t test and Fisher test. RESULTS: There were no significant differences in @entity1 age, preoperative prostatic size, operating time or specimen weight between the 2 groups. Duration of catheterization (P=.0008) and hospital stay (P<.0001) were significantly less in the laser group. Both groups showed a statistically significant improvement in functional variables at 3months post operatively. The cost utility analysis for @entity23008 per case was 2589 @entity7634 versus 4706 per laparoscopic case. In the laser arm, 4 @entity1 (20%) experienced complications according to the modified Clavien classification system versus 5 (25%) in the laparoscopic group (P>.99). CONCLUSION: Holmium enucleation of the prostate has similar short term functional results and complication rates compared to laparoscopic simple prostatectomy performed in large glands with the advantage of less catheterization time, lower economic costs and a reduced hospital stay.
