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Same-day discharge for endoscopic enucleation of the prostate: a systematic review and meta-analysis

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Abstract

Purpose

To systematically review studies focused on the feasibility and outcomes of outpatient endoscopic enucleation of the prostate for benign prostatic obstruction.

Methods

A literature search was conducted through December 2022 using PubMed/Medline, Web of Science, and Embase databases. Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines were followed to identify eligible studies. Risk of bias assessment was performed according to the Newcastle–Ottawa Scale for case control studies.

Results

Of 773 studies, ten were included in the systematic review (n = 1942 patients) and four in the meta-analysis (n = 1228 patients). The pooled incidence of successful same-day discharge was 84% (95% CI 0.72–0.91). Unplanned readmission was recorded in 3% (95% CI 0.02–0.06) of ambulatory cases. In the reported criteria-selected patients submitted to SDD surgery, the forest plot suggested a lower rate of postoperative readmission (OR 0.56, 95% CI 0.34–0.91, p = 0.02) and complications (OR 0.69, 95% CI 0.48–1, p < 0.05) rates compared to standard protocols.

Conclusion

We provide the first systematic review and meta-analysis on SDD for endoscopic prostate enucleation. Despite the lack of randomized controlled trials, we confirm the feasibility and safety of the protocol with no increase in complications or readmission rate in well-selected patients.

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Data availability statement

Not applicable.

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Funding

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Author information

Authors and Affiliations

  1. Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Cartagena 340-350, 08025, Barcelona, Spain

    Pietro Diana, Alessandro Uleri, Andrea Gallioli, Ivan Schwartzmann & Alberto Breda

  2. Department of Urology, Humanitas Clinical and Research Institute IRCCS, Rozzano, Italy

    Pietro Diana, Alberto Saita, Alessandro Uleri, Paolo Casale & Nicolomaria Buffi

  3. Department of Urology, Hospitales Universitarios San Roque, Las Palmas de Gran Canaria, Spain

    Pietro Diana & Pablo Juarez del Dago

  4. GUA Gabinete de Urología y Andrología, Las Palmas de Gran Canaria, Spain

    Pietro Diana & Pablo Juarez del Dago

  5. Department of Urology, North Hospital, Aix-Marseille University, APHM, Marseille, France

    Michael Baboudjian

  6. Department of Urology and Renal Transplantation, La Conception University Hospital, Aix-Marseille University, APHM, Marseille, France

    Michael Baboudjian, Bastien Gondran-Tellier & Romain Boissier

  7. Department of Urology, La Croix du Sud Hospital, 31130, Quint Fonsegrives, France

    Benjamin Pradere

  8. Department of Urology, Clinique Pasteur, Toulouse, France

    Vincent Misrai

Authors
  1. Pietro Diana
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Contributions

PD involved in data collection, data analysis, and manuscript writing. MB involved in data collection, data analysis, and manuscript writing. AS involved in manuscript writing. AU involved in manuscript writing. AG involved in manuscript editing. PC involved in manuscript editing. NB involved in manuscript editing. BP involved in data analysis. VM involved in data analysis. BG-T involved in data analysis. IS involved in protocol/project development and manuscript editing. AB involved in protocol/project development and manuscript editing. PJdelD involved in manuscript editing.

Corresponding author

Correspondence to Pietro Diana.

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Diana, P., Baboudjian, M., Saita, A. et al. Same-day discharge for endoscopic enucleation of the prostate: a systematic review and meta-analysis. World J Urol 41, 2099–2106 (2023). https://doi.org/10.1007/s00345-023-04471-3

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  • DOI: https://doi.org/10.1007/s00345-023-04471-3

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