To assess the feasibility and safety of laser endoscopic enucleation of the prostate (EEP) as a same-day surgery for patients with symptomatic benign prostatic enlargement (BPE), emphasizing the importance of safety in this context.
Key Findings:
Laser EEP is effective and safe for treating BPE with low morbidity, supported by quantitative data. Shorter hospital stays associated with laser EEP reduce perioperative complications. Five studies were prospective and ten were retrospective, with varying quality ratings.
Interpretation:
The review indicates that same-day discharge after laser EEP is feasible and may enhance patient outcomes by reducing hospital stays and associated risks, with implications for clinical practice.
Limitations:
Limited number of studies specifically addressing same-day discharge, with variability in study quality and methodologies, and potential biases in study selection and data reporting.
Conclusion:
Day-case laser EEP surgery appears to be a viable option for patients with symptomatic BPE, warranting further investigation to solidify findings, particularly in areas such as long-term outcomes and patient satisfaction.
by Mehmet Yilmaz, Mustafa Karaaslan, Muhammed Emin Polat, Senol Tonyali, Halil Çağrı Aybal, Mehmet Emin Şirin, Tuncay Toprak, Lütfi Tunç, Christian Gratzke, Arkadiusz Miernik
