계명대학교 의학도서관 Repository

Robotic-assisted simple prostatectomy versus holmium laser enucleation of the prostate for large benign prostatic hyperplasia: A single-center preliminary study in Korea

Metadata Downloads
Author(s)
Byung Hoon KimHye Jin Byun
Keimyung Author(s)
Kim, Byung HoonByun, Hye Jin
Department
Dept. of Urology (비뇨의학)
Journal Title
Prostate Int
Issued Date
2022
Volume
10
Issue
3
Keyword
LasersProstatectomyProstatic hyperplasia
Abstract
Background:
Holmium laser enucleation of the prostate (HoLEP) and robotic-assisted simple prostatectomy (RASP) are the two most important therapeutic modalities for large benign prostatic hyperplasia. However, there are currently no studies comparing these two treatments in a Korean setting. In this study, the authors seek to compare the safety and efficacy associated with these procedures.

Methods:
The authors retrospectively analyzed 59 male patients who underwent HoLEP (n = 26) or RASP (n = 33) at single center. The following preoperative data were compared: age, the International Prostatic Symptom Score (IPSS), transrectal ultrasonography, uroflowmetry, and hemoglobin. Intraoperative data included operation time and specimen weight. Postoperative data included change in IPSS, uroflowmetry, and hemoglobin. Length of stay, catheterization time, and complications were also reviewed.

Results:
No significant differences between the two groups were found in terms of age, total prostate, and transitional volume. Postoperatively, both groups showed similar improvement in the maximum flow rate, post-void residual urine, IPSS, and quality of life. Intraoperatively, there were no differences regarding operation time and resected prostate volume. Catheter removal time and length of stay were significantly shorter in the HoLEP group than the RASP group. In addition, postoperative hemoglobin changes were significantly lower in the HoLEP group. However, incontinence rates at 1 month and 2 months postoperative in the RASP group were lower than the HoLEP group.

Conclusions:
Both HoLEP and RASP can produce excellent postoperative outcomes. However, catheter removal time, length of stay, and hemoglobin changes were more favorable in the HoLEP group. On the other hand, postoperative incontinence was more favorable in the RASP group. These factors must be heavily considered when deciding surgical the method for large benign prostatic hyperplasia.
Keimyung Author(s)(Kor)
김병훈
변혜진
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2287-8882
Source
https://www.sciencedirect.com/science/article/pii/S2287888222000265?via%3Dihub
DOI
10.1016/j.prnil.2022.05.004
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44580
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
Authorize & License
  • Authorize공개
  • EmbargoForever
Files in This Item:
  • There are no files associated with this item.

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.