Review article published in the Journal of Endourology. Dr. El Tayeb looked at this in 2015 and did not find any difference.
I haven’t figured out yet why some dissections are more difficult than others. I do think that the older men that I operate on have poorer tissue quality and thus the “surgical capsule” is not as robust. In these cases, I find that I do not stay in my correct plane as often. When I get out of the correct plane, I spend more time cutting through tissue and also correcting my mistakes. I think that this prolongs my enucleation time.
Maintaining the correct plane is also more difficult in small prostates (enucleations < 10-15 grams). The value of HoLEP in these settings is debatable and a conversation for another day. In my opinion, I still think that it does.
http://online.liebertpub.com/doi/abs/10.1089/end.2017.0734
@marawaneltayeb