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Comparison between open simple prostatectomy and green laser enucleation of the prostate for treating large benign prostatic hyperplasia: a single-centre experience

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Abstract

Purpose

This study sought to compare perioperative outcomes and morbidities for open simple prostatectomy (OSP) and endoscopic green laser enucleation of the prostate (GreenLEP).

Methods

In a single department, all consecutive patients who underwent OSP between January 2005 and December 2010 were retrospectively reviewed, and all consecutive patients undergoing GreenLEP between July 2013 and January 2017 were prospectively enrolled. Perioperative data, information regarding early postoperative complications for up to 6 months and outcomes were collected and retrospectively compared.

Results

Overall, 204 patients were enrolled in each group. The baseline characteristics of patients in both groups were comparable. Intraoperative time was significantly longer for the OSP group than for the GreenLEP group (67 versus 60 min; p < 0.0001). The OSP group had significantly longer catheterisation (5 versus 2 days; p < 0.0001) and hospitalisation times (7 versus 2 days; p < 0.0001) than the GreenLEP group. The overall rate of complications was significantly higher after OSP than after GreenLEP (37.2 versus 20.6%; p = 0.0003); both Clavien–Dindo grade 3a complications (8.8 versus 0.98%) and Clavien–Dindo grade 3b complications (2.4 versus 3.4%) were observed. The transfusion rate was higher after OSP than after GreenLEP (8.3 versus 0.5%; p = 0.0001). The rehospitalisation rate was similar for both groups (7.8 versus 8.3%; p = 0.99).

Conclusions

The results of this single-centre cohort study confirm those of similar prior investigations addressing endoscopic enucleation of the prostate. Compared with OSP, GreenLEP may have a more desirable perioperative profile with lower morbidity. In contrast, GreenLEP and OSP were associated with similar 6-month rehospitalisation rates.

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Author information

Authors and Affiliations

  1. Department of Urology, Clinique Pasteur, 31300, Toulouse, France

    Vincent Misraï, Marie Pasquie, Benoit Bordier, Benjamin Elman, Jean Michel Lhez & Julien Guillotreau

  2. CHUM Section of Urology, Department of Surgery, Université de Montréal, Montreal, QC, Canada

    Kevin Zorn

Authors
  1. Vincent Misraï
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  2. Marie Pasquie
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  3. Benoit Bordier
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  4. Benjamin Elman
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  5. Jean Michel Lhez
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  6. Julien Guillotreau
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  7. Kevin Zorn
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Contributions

Protocol/project development: Misrai, Zorn. Data collection or management: Pasquie, Misrai. Data analysis: Pasquie. Manuscript writing/editing: Misrai, Guillotreau, Bordier, Lhez, Elman

Corresponding author

Correspondence to Vincent Misraï.

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Conflict of interest

Vincent Misrai is a consultant and proctor for Boston Scientific. Kevin Zorn is a consultant and proctor for Boston Scientific. Benoit Bordier, Benjamin Elman, Jean Michel Lhez and Julien Guillotreau have no disclosures to declare.

Research involving human participants and/or animals

Not applicable for that section.

Informed consent

All patients referred for BPO that required green laser enucleation of the prostate were included in this evaluation after providing informed written consent.

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Misraï, V., Pasquie, M., Bordier, B. et al. Comparison between open simple prostatectomy and green laser enucleation of the prostate for treating large benign prostatic hyperplasia: a single-centre experience. World J Urol 36, 793–799 (2018). https://doi.org/10.1007/s00345-018-2192-z

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  • DOI: https://doi.org/10.1007/s00345-018-2192-z

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