Same-day discharge for endoscopic enucleation of the prostate: a systematic review and meta-analysis

Purpose To systematically review studies focused on the feasibility and outcomes of outpatient endoscopic enucleation of the prostate for benign prostatic obstruction. Methods A literature search was conducted through December 2022 using PubMed/Medline, Web of Science, and Embase databases. Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines were followed to identify eligible studies . Risk of bias assessment was performed according to the Newcastle–Ottawa Scale for case control studies. Results Of 773 studies, ten were included in the systematic review ( n = 1942 patients) and four in the meta-analysis ( n = 1228 patients). The pooled incidence of successful same-day discharge was 84% (95% CI 0.72–0.91). Unplanned readmission was recorded in 3% (95% CI 0.02–0.06) of ambulatory cases. In the reported criteria-selected patients submitted to SDD surgery, the forest plot suggested a lower rate of postoperative readmission (OR 0.56, 95% CI 0.34–0.91, p = 0.02) and complications (OR 0.69, 95% CI 0.48–1, p