{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:41:23Z","timestamp":1791916883733,"version":"4.3.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>We sought to update our experience of oncologic and functional outcomes of robot-assisted radical prostatectomy (RARP) for prostate cancer in patients with history of holmium laser enucleation of the prostate (HoLEP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Twenty-seven patients with previous HoLEP who underwent RARP were matched 1:1 with RARP patients with no history of transurethral surgery. Demographic, operative, oncologic, continence, and erectile function outcomes were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Median time between HoLEP and RARP was 31 months with a mean prostate-specific antigen doubling time of 4.28\u2009ng\/mL\/year. Operative times were significantly longer with higher bladder neck reconstruction rates and similarly low complication rates. Biochemical recurrence was relatively low (7%) in the HoLEP group, identical to the comparative group. Continence at last follow-up was not statistically significant between groups, although time to continence favored the non-HoLEP cohort. Erectile function recovery was generally poor in the post-HoLEP cohort (11%), although bilateral nerve sparing was rarely performed (11%). Compared with our initial experience, there were significant improvements in time to continence (16\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      36 weeks). No T2 post-HoLEP RARP since 2010 has had a positive surgical margin.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Post-HoLEP prostatectomy remains feasible with similar perioperative and oncologic outcomes compared with matched cohorts. Functional recovery remains slowed yet may continue to improve with technical familiarity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2019.0436","type":"journal-article","created":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T02:28:48Z","timestamp":1576031328000},"page":"163-168","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Robot-Assisted Radical Prostatectomy in Patients with a History of Holmium Laser Enucleation of the Prostate: The Indiana University Experience"],"prefix":"10.1177","volume":"34","author":[{"given":"Zain A.","family":"Abedali","sequence":"first","affiliation":[{"name":"Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam C.","family":"Calaway","sequence":"additional","affiliation":[{"name":"Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Large","sequence":"additional","affiliation":[{"name":"Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael O.","family":"Koch","sequence":"additional","affiliation":[{"name":"Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James E.","family":"Lingeman","sequence":"additional","affiliation":[{"name":"Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald S.","family":"Boris","sequence":"additional","affiliation":[{"name":"Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,2,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1586142"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2017.0489"},{"key":"e_1_3_3_4_2","doi-asserted-by":"crossref","first-page":"S141","DOI":"10.1016\/j.juro.2012.11.027","article-title":"Experience with more than 1,000 holmium laser prostate enucleations for benign prostatic hyperplasia","volume":"189","author":"Krambeck AE","year":"2013","unstructured":"Krambeck AE, , Handa SE, , Lingeman JE. Experience with more than 1,000 holmium laser prostate enucleations for benign prostatic hyperplasia. J Urol, 2013; 189(1 Suppl.):S141\u2013S145.","journal-title":"J Urol"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-017-2048-y"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2353-0"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2014.0359"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.prnil.2015.10.016"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13308"},{"issue":"4","key":"e_1_3_3_10_2","first-page":"e160","article-title":"Clinical and pathologic outcomes following holmium laser enucleation of the prostate in men undergoing active surveillance for prostate cancer","volume":"201","author":"Nottingham C","year":"2019","unstructured":"Nottingham C, , Large T, , Fiuk J, , Lingeman J. Clinical and pathologic outcomes following holmium laser enucleation of the prostate in men undergoing active surveillance for prostate cancer. 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