Table 6.

Outcomes of HoLEP and other concomitant surgeries

Study	HoLEP + CS	HoLEP only	Concomitant surgical procedures	Outcomes
Patel et al46	38	334	• Simple: stent removal (1), stent placement (1), meatotomy (3), umbilical hernia repair (3), URS (1), spermatocelectomy (1), hydrocelectomy (1), inguinal hernia repair (1), removal of prostatic urethral stent (1) • Intermediate: cystolitholapaxy (16), open cystolithotomy (1), TURBT (3), circumcision/TURBT (1) • Complex: bladder diverticulectomy/left distal ureterectomy/reimplant (1), bladder diverticulectomy/urachal mass (1), robotic bladder diverticulectomy (2)	• No difference compared to simple or intermediate procedures • If complex procedure, significantly longer OR time (221 vs 65 minutes, P=0.007), higher EBL (92 vs 33 mL, P=0.012), longer catheter time (8.5 vs 1 d, P =0.041), and longer LOS (2 vs 1 d, P=0.032) • No complications except an MI in the intermediate group • Significant improvement in Qmax, PVR, and symptom score
Shah et al47	3	n/a	• Laparoscopic extraperitoneal diverticulectomy (3)	• No major complications • No blood transfusions • Improvement in Qmax, PVR, symptom scores for all
Kim et al48	11	n/a	• URS (8) • PCNL (2) • URS and PCNL (1)	• No short- or long-term complications • No transfusions • All with FU imaging stone free • Improvement in Qmax, PVR, and symptom scores postop

Abbreviations: HoLEP, holmium laser enucleation of the prostate; CS, concomitant surgery; URS, ureteroscopy; TURBT, transurethral resection of bladder tumor; OR, operating room; EBL, estimated blood loss; d, days; MI, myocardial infarction; Qmax, peak urinary flow rate; PVR, postvoid residual; PCNL, percutaneous nephrolithotomy, FU, follow-up; postop, postoperative; LOS, length of stay; n/a, not applicable.