Meta-Analysis of Robot-Assisted vs. Laser Prostatectomy for Large BPH

A 2026 systematic review and meta-analysis by Xiaoming Hao, aggregating data from 15 studies involving 2,231 patients. It compares perioperative efficiency, safety, and functional outcomes between robot-assisted simple prostatectomy (RASP) and laser enucleation of the prostate (LEP) for benign prostatic hyperplasia volumes of 80 mL or more. The analysis was performed using Stata MP 18 and Review Manager 5.4.0.

Use Cases

• Compare operative time and catheterization duration between surgical techniques based on the meta-analysis results.
• Assess the incidence of post-operative urinary incontinence based on Clavien-Dindo complication rates.
• Evaluate long-term symptom control improvements based on International Prostate Symptom Score (IPSS) follow-up data.
• Analyze differences in hospital stay duration between thulium fiber laser and holmium fiber laser enucleation techniques.

Strengths

• Includes data from 15 studies and 2,231 patients, providing a substantial evidence base.
• Compares multiple specific outcome measures including operative time, catheterization duration, hospital stay, and complication rates.
• Performs subgroup analyses differentiating between thulium fiber laser (ThuLEP) and holmium fiber laser (HoLEP) techniques.

Limitations

• The dataset is a 37.3 KB document; the underlying raw study data is not provided.
• Column-level documentation is absent; field semantics must be inferred from the manuscript text.
• The observational design and heterogeneity of the included studies are noted as limitations by the authors.

Provenance

Source

figshare

Collection Method

Systematic review and meta-analysis of studies from PubMed, Embase, Web of Science, and Scopus.

Freshness

Last updated 2026-05-05.