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Same-day catheter removal after holmium laser enucleation of the prostate (HoLEP): a systematic review

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Abstract

Purpose

To summarize all existing evidence regarding the feasibility, safety, and efficacy of same-day trial of void and catheter removal after Holmium Laser Enucleation of the Prostate (HoLEP). Although there have been many reports of the safety and efficacy of same-day discharge from the hospital for selected patients undergoing HoLEP, in most of these reports, patients return to the hospital, usually on postoperative day one, to undergo a trial of void and catheter removal.

Methods

PubMed®, Scopus®, and Cochrane® primary databases were systematically screened, from inception to 17 January 2023. The search strategy used the PICO (Patient, Intervention, Comparison, Outcomes) Framework. We followed the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.

Results

Six studies met all the predefined criteria and were included in the final qualitative synthesis. Four studies were retrospective and two were prospective. Four studies were non-comparative, while two were comparative ones. The same-day catheter removal success rate ranged from 85.5 to 90% among studies, while only one grade-IIIb Clavien-Dindo complication was reported, which was unrelated to surgery.

Conclusion

Same-day catheter removal is a feasible, safe, and efficient approach for selected patients undergoing HoLEP. Certain factors, such as intraoperative furosemide administration, were found to improve same-day catheter-free rates, while preoperative PVR and urinary retention were independent predictive factors of same-day trial of void failure.

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Data availability

This manuscript represents a systematic review and thus no data were used.

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Funding

This research received no external funding.

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Authors and Affiliations

  1. Department of Urology, University of Patras Hospital, 26504, Patras, Greece

    Theodoros Spinos, Vasileios Tatanis, Evangelos Liatsikos & Panagiotis Kallidonis

  2. Department of Urology, Medical University of Vienna, 1090, Vienna, Austria

    Evangelos Liatsikos

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  1. Theodoros Spinos
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  2. Vasileios Tatanis
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  3. Evangelos Liatsikos
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  4. Panagiotis Kallidonis
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Contributions

TS: data collection and analysis, manuscript writing. VT: data collection and analysis, manuscript writing. EL: conceptualization, manuscript editing and review, supervision. PK: conceptualization, manuscript editing and review, supervision.

Corresponding author

Correspondence to Panagiotis Kallidonis.

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This paper is a literature review. None of these is included.

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Spinos, T., Tatanis, V., Liatsikos, E. et al. Same-day catheter removal after holmium laser enucleation of the prostate (HoLEP): a systematic review. World J Urol 41, 3503–3510 (2023). https://doi.org/10.1007/s00345-023-04655-x

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  • DOI: https://doi.org/10.1007/s00345-023-04655-x

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