Operative time comparison of aquablation, greenlight PVP, ThuLEP, GreenLEP, and HoLEP

Area of Science:

• Urology
• Surgical Technology
• Medical Devices

Background:

• Benign prostatic hyperplasia (BPH) is treated with various surgical techniques.
• Current BPH surgical options include Greenlight photovaporization of the prostate (PVP), GreenLEP, HoLEP, ThuLEP, and Aquablation.
• Direct comparisons of operative times between these BPH procedures are limited.

Purpose of the Study:

• To compare the operative times of different surgical BPH treatments.
• To evaluate the relationship between prostate volume and procedure time for each surgical technique.

Main Methods:

• Pooled data from five sources were analyzed.
• Patient-level data for Aquablation and data from high-volume experts for PVP, GreenLEP, HoLEP, and ThuLEP were used.
• General linear models assessed the impact of prostate volume on procedure time.

Main Results:

• Procedure time generally increased with prostate volume.
• Aquablation demonstrated the shortest operative time across all prostate sizes.
• PVP exhibited the longest procedure time, particularly for prostates larger than 40 cc.

Conclusions:

• Aquablation is associated with the lowest operative time among the evaluated BPH surgical procedures.
• PVP is the most time-consuming procedure for larger prostates (>40 cc).
• These findings aid in selecting appropriate BPH surgical interventions based on operative efficiency.