Holmium Laser Enucleation of the Prostate
Publication/Presentation Date
1-1-2026
Abstract
INTRODUCTION: Holmium laser enucleation of the prostate (HoLEP), multi-port robotic simple prostatectomy (MP-RASP), and single-port robotic simple prostatectomy (SP-RASP) are three widely accepted treatment options for benign prostatic hyperplasia. We present the first study to directly compare all three modalities.
METHODS: Patients undergoing HoLEP, MP-RASP, or SP-RASP between 2022 and 2024 were retrospectively analyzed. Various preoperative, perioperative, and postoperative variables and outcomes were assessed.
RESULTS: A total of 92 HoLEP, 42 MP-RASP, and 59 SP-RASP patients were analyzed. The mean prostate size was larger for MP-RASP compared to HoLEP and SP-RASP (
CONCLUSION: HoLEP had a decreased operative time, shorter catheter duration, and increased incontinence rates, whereas both MP-RASP and SP-RASP had a greater amount and percentage of prostatic tissue removed. MP-RASP removed a greater amount of tissue and had a longer catheter duration compared to SP-RASP.
Volume
40
Issue
1
First Page
84
Last Page
89
ISSN
1557-900X
Published In/Presented At
Glucksman, E., Aguirre, F., Thompson, R. A. M., Grindley, C., McElroy, T., Horan, S., Matheson, M., & Shah, M. S. (2026). Holmium Laser Enucleation of the Prostate vs Multi-Port Robotic-Assisted Simple Prostatectomy vs Single-Port Robotic-Assisted Simple Prostatectomy: A Single-Center Experience. Journal of endourology, 40(1), 84–89. https://doi.org/10.1177/08927790251406609
Disciplines
Medicine and Health Sciences
PubMedID
41439340
Department(s)
Fellows and Residents
Document Type
Article