{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:29:55Z","timestamp":1779380995735,"version":"3.53.1"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T00:00:00Z","timestamp":1721088000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction and Objectives<\/jats:title><jats:p>Our goals were to study prostatic volume as a limiting factor after HoLEP surgery with short\u2010circuit outpatient care (4\u2009h) and to define other factors that affect the success of the proposed circuit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>An observational analysis and review was performed using a prospective database. Preoperative, intraoperative, and postoperative variables were included for patients who were scheduled for short\u2010circuit outpatient care (SCOC) and who underwent HoLEP between 2020 and 2023. We defined SCOC as a postoperative hospital stay of 4\u2009h. Subjects who required more than 4\u2009h in hospital were categorized as conventional hospital admission (CHA). A descriptive populational study was conducted, expressing the mean using a 95% confidence interval and percentages for the continuous variables. In order to analyze them, we used the Student's <jats:italic>t<\/jats:italic>\u2010test for the continuous variables and the chi\u2010squared test for the categorical variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010eight patients were included, 54 of which completed SCOC, which represented a success ratio of 79.5%. The mean age and prostatic volume of the whole cohort were 68.9 (\u00b16.8) years and 79.5 (\u00b129.1) mL, respectively. We found no significant differences in age, prostatic volume, antiplatelet drug use, indwelling bladder catheter, or applied energy among the subjects who completed SCOC and those who required CHA. No patient was presented with a complication of Grade 3 (or higher) in the modified Clavien\u2013Dindo classification. At the six\u2010month follow\u2010up, no differences were observed in the uroflowmetry or International Prostate Symptoms Score variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Prostatic volume does not seem to be a limiting factor after undergoing HoLEP with short\u2010circuit outpatient care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.12525","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T08:20:12Z","timestamp":1721118012000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Holmium laser enucleation of the prostate (HoLEP) in short\u2010circuit outpatient care: Is prostatic volume a limiting factor?"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9140-2774","authenticated-orcid":false,"given":"S\u00e1nchez Rodr\u00edguez","family":"Maria","sequence":"first","affiliation":[{"name":"Urology Department 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Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram\u00f3n","family":"Bult\u00f3 Gonzalvo","sequence":"additional","affiliation":[{"name":"Urology Department University Hospital Germans Trias i Pujol  Badalona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordi","family":"Cervera Alcaide","sequence":"additional","affiliation":[{"name":"Urology Department University Hospital Germans Trias i Pujol  Badalona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Casanova Garc\u00eda","sequence":"additional","affiliation":[{"name":"Urology Department University Hospital Germans Trias i Pujol  Badalona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mireia","family":"Garc\u00eda Puche","sequence":"additional","affiliation":[{"name":"Urology Department University Hospital Germans Trias i Pujol  Badalona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Segura Alabart","sequence":"additional","affiliation":[{"name":"Urology Department University Hospital Germans Trias i Pujol  Badalona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Jos\u00e9","family":"Areal Calama","sequence":"additional","affiliation":[{"name":"Urology Department University Hospital Germans Trias i Pujol  Badalona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"\u00c1greda Casta\u00f1eda","sequence":"additional","affiliation":[{"name":"Urology Department University Hospital Germans Trias i Pujol  Badalona 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laser enucleation of the prostate (HoLEP) as same\u2010day surgery: a safe and feasible option","volume":"47","author":"Blanco Fern\u00e1ndez R","year":"2023","journal-title":"Actas Urol Esp Engl Ed"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acuro.2019.08.008"}],"container-title":["LUTS: Lower Urinary Tract 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