Compared with PKRP , PKEP costs longer operative time ( 56.1 14.6 vs 41.3 9.6 min ; P < .001 ) for prostate volume 60 mL , but reduced operative time ( 75.6 12.3 vs 88.7 14.3 minutes ; P < .001 ) and caused less blood loss ( 167.6 44.4 vs 225.7 49.5 mL ; P < .001 ) for prostate volume > 60 mL .