{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:54:32Z","timestamp":1787766872668,"version":"build-2784847793"},"reference-count":19,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"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":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>There are numerous options available for the surgical treatment of benign prostate hyperplasia, and single-port robotic-assisted simple prostatectomy (SP-RASP) has emerged as a novel method in this field. In this study, we aim to define the trifecta of same-day discharge (SDD) and identify the factors associated with the trifecta of SDD following SP-RASP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Data from 95 patients who underwent SP-RASP between February 2020 and July 2024 at a single center by a single surgeon were evaluated. The trifecta of SDD was defined as a patient being discharged on the same day without experiencing any 90-day postoperative complications and no readmissions. The factors associated with predicting the trifecta of SDD were investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 95 SP-RASP cases were successfully performed without the need for conversion to alternative approaches, and 54 patients (56.8%) were included in the trifecta of the SDD-achieved group. The reasons for failure included 23 patients (24.2%) requiring postoperative hospitalization from the recovery area, 24 patients (25.3%) experiencing postoperative complications, and 2 patients (2.1%) needing readmission within 90 days after discharge. There was a 0% incidence of major postoperative complications (\u2265Clavien\u2013Dindo grade 3). When comparing the groups, trifecta-achieved patients showed lower estimated blood loss, smaller specimen weight, lower percentage of adenoma removed, and a reduced rate of opioid prescriptions at discharge (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.005, 0.033, 0.025, and 0.026, respectively). In the multivariate logistic regression analysis, specimen weight was the only factor significantly associated with trifecta following SP-RASP (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.018).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In our cohort, 56% of patients were classified within the trifecta group, with no major postoperative complications observed following SP-RASP. Specimen weight was the only independent predictor of trifecta achievement in these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2024.0930","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T04:39:22Z","timestamp":1742272762000},"page":"477-481","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Trifecta of Same-Day Discharge after Single-Port Robotic-Assisted Simple Prostatectomy"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9774-2040","authenticated-orcid":false,"given":"Hakan Bahadir","family":"Haberal","sequence":"first","affiliation":[{"name":"Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA."},{"name":"Department of Urology, Ankara Ataturk Sanatoryum Training and Research Hospital, Ministry of Health, University of Health Sciences, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Lambertini","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA."},{"name":"Department of Experimental and Clinical Medicine, University of Florence\u2014Unit of Oncologic Minimally-Invasive Urology and Andrology, Careggi Hospital, Florence, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Pacini","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA."},{"name":"Urology Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa,Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7779-4450","authenticated-orcid":false,"given":"Giulio","family":"Avesani","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA."},{"name":"Department of Urology and Division of Experimental Oncology\/Unit of Urology, URI, Urological Research Institute, IRCCS San Raffaele Scientific Institute, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio Maria","family":"Valenzi","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA."},{"name":"Urology Unit, Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Sapienza University of Rome, Latina, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhannad","family":"Aljoulani","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA."},{"name":"Department of Biomedical Sciences, Humanitas University, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruben Calvo","family":"Sauer","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Ramon","family":"Torres-Anguiano","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Crivellaro","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Illinois at Chicago, Chicago, Illinois, 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