MP09-13 RETROSPECTIVE MATCH-PAIR ANALYSIS OF PRIMARY HOLMIUM ENUCLEATION OF PROSTATE (HoLEP) VERSUS ROBOT ASSISTED SIMPLE PROSTATECTOMY (RASP) FOR PROSTATES MORE THAN 100 cc

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology II (MP09)1 Sep 2021MP09-13 RETROSPECTIVE MATCH-PAIR ANALYSIS OF PRIMARY HOLMIUM ENUCLEATION OF PROSTATE (HoLEP) VERSUS ROBOT ASSISTED SIMPLE PROSTATECTOMY (RASP) FOR PROSTATES MORE THAN 100 cc Abhishek Bhat, Ruben Blachman-Braun, Quinn Rainer, Daniel Pulido, Hemendra Shah, and Ramgopal Satyanarayana Abhishek BhatAbhishek Bhat More articles by this author , Ruben Blachman-BraunRuben Blachman-Braun More articles by this author , Quinn RainerQuinn Rainer More articles by this author , Daniel PulidoDaniel Pulido More articles by this author , Hemendra ShahHemendra Shah More articles by this author , and Ramgopal SatyanarayanaRamgopal Satyanarayana More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001982.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: HoLEP and RASP are established surgical modalities for management of bothersome lower urinary tract symptoms (LUTS) secondary to gross prostatomegaly. Our objective was to compare the peri-operative and short-term voiding outcomes of HoLEP versus RASP for treatment of large prostates >100 cc. METHODS: A retrospective review was performed for all patients who underwent primary RASP between 2017-2020 and these patients were matched 1:2 for HoLEP patients based on age and prostate size. Baseline demographics, pre-operative questionnaire based, intraoperative and post-operative data was recorded. Statistical analysis was performed with SPSS V.24. RESULTS: A total of 50 HoLEP and 25 RASP patients were included (table 1). Pre-operative Sexual Health Index in Men (SHIM) score was similar but voiding symptoms were significantly worse in men undergoing RASP (p <0.001). Duration of surgery and catheter insitu were significantly longer in RASP group. There were no intra-operative complications and no significant difference in length of hospital stay or post-operative complication rate. Hematuria was the most common complication in the HoLEP arm (n=10) & UTI (n=5) in the RASP arm. The HoLEP arm therefore had a higher number of re-catheterizations than RASP (p=0.0294). Three-month PSA was similar in both arms. There was a significant difference in voiding symptoms at 3 months with IPSS = 2 in the HoLEP arm and IPSS = 7 (p <0.001) in the RASP arm, mainly irritative LUTS. CONCLUSIONS: Both HoLEP and RASP are feasible and safe procedures for prostatomegaly >100 cc. HoLEP is associated with significantly lesser duration of surgery, post-operative indwelling catheter and hospital stay. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e164-e165 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Abhishek Bhat More articles by this author Ruben Blachman-Braun More articles by this author Quinn Rainer More articles by this author Daniel Pulido More articles by this author Hemendra Shah More articles by this author Ramgopal Satyanarayana More articles by this author Expand All Advertisement Loading ...