Table 34: Perioperative Outcomes. Holmium Laser Enucleation of the Prostate Versus TURP.
| Study, Year | Operative time Mean (SD), Min | Hospital stay Mean (SD), Days | Catheterization time Mean (SD), Hours | Hemoglobin decrease, Mean (SD), g/dL | Transfusion N (%) | Intraoperative irrigant requirement, Mean (SD), L | TUR syndrome N (%) | Irritative urinary symptoms |
|---|---|---|---|---|---|---|---|---|
| Rigatti et al. 2006 (72) HoLEP TURP |
74 (19.5) 57 (15) P < .05 |
2.46 (0.83) 3.56 (0.79) P < .001 |
31 (13) 57.78 (17.5) P < .001 |
1.32 (1.8) 1.29 (2.1) P = .14 |
NR (Equivalent bleed loss) |
NR | 0 1 |
33 (58.9) 13 (29.5) P = .0002 |
| Gupta et al. 2006 (55) HoLEP TURP |
75.4 (22.8) 64.1 (13.1) P < .001 Between 3 arms |
NR | 28.6 (20.5) 45.7 (12.7) P < .001 Between 3 arms |
0.83 (0.7) 1.1 (0.8) |
0 1 (2%) P < .001 |
26.9 (8.5) 24.2 (11.8) P < .001 Between 3 arms |
0 0 |
5 1 P < .03 Between 3 arms |
| Kuntz et al. 2004 (39) HoLEP TURP |
94.6 (35.1) 73.8 (24.0) P < .0001 |
2.2 (0.6) 3.6 (1.6) P < .0001 |
27.6 (10.4) 43.4 (21.1) P < .0001 |
1.3 (1.0) 1.8 (1.4) P = .01 |
0 2 P = .5 |
NR | NR | NR |
| Tan et al. 2003 (40) HoLEP TURP |
109.5 61.3 |
1.15 (0.11) 2.08 (0.23) P < .001 |
17.7 (0.7) 44.9 (10.1) P < .01 |
NR | 0 1 |
23.4 (2.5) 14.0 (1.6) P < .01 |
NR | NR |
¶
Mean decrease in hemoglobin unless otherwise stated;
HoLEP refers to holmium laser enucleation of the prostate; NR, not reported; Qmax, maximum urinary flow; SD, standard deviation; TURP, transurethral resection of the prostate