{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:53:13Z","timestamp":1777589593861,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"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"],"abstract":"\n Introduction:<\/jats:title>\n Holmium laser enucleation of the prostate (HoLEP), multi-port robotic simple prostatectomy (MP-RASP), and single-port robotic simple prostatectomy (SP-RASP) are three widely accepted treatment options for benign prostatic hyperplasia. We present the first study to directly compare all three modalities.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Patients undergoing HoLEP, MP-RASP, or SP-RASP between 2022 and 2024 were retrospectively analyzed. Various preoperative, perioperative, and postoperative variables and outcomes were assessed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of 92 HoLEP, 42 MP-RASP, and 59 SP-RASP patients were analyzed. The mean prostate size was larger for MP-RASP compared to HoLEP and SP-RASP (\n p<\/jats:italic>\n < 0.001). Mean operative times were lower for HoLEP compared to MP-RASP and SP-RASP (\n p<\/jats:italic>\n < 0.001). Estimated blood loss (EBL) was significantly different between all three cohorts (\n p<\/jats:italic>\n < 0.001). Transfusion rates were no different (\n p<\/jats:italic>\n = 0.2). The mean prostate tissue removed during the surgical procedure was significantly higher for MP-RASP\n vs<\/jats:italic>\n HoLEP (\n p<\/jats:italic>\n < 0.001) and MP-RASP\n vs<\/jats:italic>\n SP-RASP (\n p<\/jats:italic>\n < 0.001) but not for SP-RASP\n vs<\/jats:italic>\n HoLEP (\n p<\/jats:italic>\n = 0.22). Mean catheter duration was significantly higher for MP-RASP compared to HoLEP and SP-RASP (\n p<\/jats:italic>\n < 0.001). 31% of MP-RASP and 63% of SP-RASP patients were discharged the same day compared to 8% of HoLEP. The transient incontinence rates were 30% for HoLEP\n vs<\/jats:italic>\n 17% for MP-RASP\n vs<\/jats:italic>\n 8% for SP-RASP (\n p =<\/jats:italic>\n 0.004).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n HoLEP had a decreased operative time, shorter catheter duration, and increased incontinence rates, whereas both MP-RASP and SP-RASP had a greater amount and percentage of prostatic tissue removed. MP-RASP removed a greater amount of tissue and had a longer catheter duration compared to SP-RASP.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/08927790251406609","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T10:04:02Z","timestamp":1766570642000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Holmium Laser Enucleation of the Prostate\n vs<\/i>\n Multi-Port Robotic-Assisted Simple Prostatectomy\n vs<\/i>\n Single-Port Robotic-Assisted Simple Prostatectomy: A Single-Center Experience"],"prefix":"10.1177","author":[{"given":"Eitan","family":"Glucksman","sequence":"first","affiliation":[{"name":"Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Aguirre","sequence":"additional","affiliation":[{"name":"Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rasheed A. M.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Grindley","sequence":"additional","affiliation":[{"name":"Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"McElroy","sequence":"additional","affiliation":[{"name":"Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Horan","sequence":"additional","affiliation":[{"name":"Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Macy","family":"Matheson","sequence":"additional","affiliation":[{"name":"Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihir S.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002183"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)64475-8"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.08.036"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2017.0489"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2020.02.024"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002692"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2021.0510"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2023.03.022"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-021-01236-1"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2023.07.020"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000004297"}],"container-title":["Journal of Endourology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08927790251406609","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790251406609","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790251406609","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:17:47Z","timestamp":1777407467000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08927790251406609"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,26]]},"references-count":11,"alternative-id":["10.1177\/08927790251406609"],"URL":"https:\/\/doi.org\/10.1177\/08927790251406609","relation":{},"ISSN":["0892-7790","1557-900X"],"issn-type":[{"value":"0892-7790","type":"print"},{"value":"1557-900X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,26]]},"article-number":"08927790251406609"}}