{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:52:51Z","timestamp":1789710771463,"version":"4.0.1"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare peri\u2010operative outcomes and trends in open (OSP), laparoscopic (LSP) and robot\u2010assisted simple prostatectomy (RASP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We used German Nationwide Inpatient Data (GRAND), provided by the Research Data Centre of the Federal Bureau of Statistics, and performed multiple patient\u2010level analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Between 2013 and 2023, 46\u2009234 simple prostatectomies were performed in Germany for benign prostatic hyperplasia without concomitant bladder stones. Of these, 44\u2009194 (96%) were performed with an open, 724 (1%) with a laparoscopic, and 1335 (3%) with a robotic approach. Among patients undergoing OSP, 11\u2009755 (27%) cases were performed with a transcapsular and 32\u2009439 (73%) with a transvesical approach. We compared transcapsular OSP vs RASP and LSP. The adoption of RASP increased exponentially during the period studied, while the use of OSP gradually declined, and that of LSP remained stable. In multivariable regression analyses, in\u2010hospital transfusions were lower for LSP (6.5%; odds ratio [OR] 0.46, 95% confidence interval [CI] 0.34\u20130.62,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and RASP (7.3%; OR 0.58, 95% CI 0.47\u20130.72,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) compared to OSP (13%). In\u2010hospital urinary retention was significantly less frequent after LSP (4.6%; OR 0.46, 95% CI 0.32\u20130.65,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and RASP (6.4%; OR 0.68, 95% CI 0.54\u20130.85,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) compared to OSP (9.3%). The median (interquartile range) hospital stay was 9\u2009(8\u201312) days for OSP, 7 (6\u20139) days for RASP (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and 4\u2009(4\u20137) days for LSP (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Transcapsular OSP was associated with a lower risk of intensive care unit admission (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and shorter hospital stay (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) compared to transvesical OSP.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our results showed that RASP is rapidly growing and offers better peri\u2010operative outcomes compared to OSP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.16928","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T08:29:58Z","timestamp":1758011398000},"page":"1107-1113","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Peri\u2010operative outcomes of open, laparoscopic and robotic simple prostatectomy"],"prefix":"10.1111","volume":"136","author":[{"given":"Nikolaos","family":"Pyrgidis","sequence":"first","affiliation":[{"name":"Department of Urology University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Weinhold","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0340-0304","authenticated-orcid":false,"given":"Gerald Bastian","family":"Schulz","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Atzler","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leo Federico","family":"Stadelmeier","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iason","family":"Papadopoulos","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Stief","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Marcon","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Keller","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(22)00213-6"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2022.03.008"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.11.062"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2025.01.002"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41391-022-00616-4"},{"key":"e_1_2_11_7_1","first-page":"1","article-title":"Perioperative outcomes of HoLEP, ThuLEP, and TURP in patients with prostate cancer: results from the GRAND study","author":"Pyrgidis 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