Impact of Minimally Invasive Benign Prostatic Hyperplasia Therapies on 30- and 90-Day Postoperative Office Encounters

Ram A. Pathak, Gregory A. Broderick, Todd C. Igel, Steven P. Petrou, Paul R. Young, Michael J. Wehle, Michael G. Heckman, Nancy N. Diehl, Emily R. Vargas, Kandarp Shah, David D. Thiel

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objective To compare the frequency of postoperative encounters in the 30-day and 90-day postoperative periods for various bladder outlet obstruction surgical therapies. Materials and Methods All patients who underwent transurethral resection of the prostate (TURP), GreenLight laser photovaporization of the prostate (GL-PVP) (American Medical Systems Inc.), and holmium laser enucleation of the prostate (HoLEP) from January 1, 2012 to December 31, 2014 were followed for 6 months postoperatively. All postoperative encounters such as patient calls or questions, catheter exchanges or removals, and hospital-based readmissions or emergency department visits were recorded in the electronic medical record. Results Two hundred and ninety-one consecutive patients underwent outlet procedures during the study period: TURP (N = 199; mean age, 71 years; mean body mass index [BMI], 28.5), HoLEP (N = 60; mean age, 68 years; mean BMI, 28.1), or GL-PVP (N = 32; mean age, 72 years; mean BMI, 29.3). No statistically significant difference was observed for age, BMI, preoperative American Urological Association symptom score, or preoperative maximum flow velocity between the 3 groups. Thirty-day postoperative encounters differed significantly between the 3 surgery types (P < .001). Specifically, there were fewer encounters within 30 days of surgery for TURP compared to both HoLEP (≥1 encounter: TURP = 48.7%, HoLEP = 66.7%; P = .006) and GL-PVP (≥1 encounter: TURP = 48.7%, GL-PVP = 93.7%; P < .001). The number of encounters within 90 days postoperatively was also significantly lower for TURP patients (P < .001). Conclusion TURP results in fewer postoperative encounters in both the 30-day and 90-day postoperative periods compared to HoLEP and GL-PVP. Laser prostate therapies may place increased burden on clinic staff during the 30-day and 90-day postoperative periods.

Original languageEnglish (US)
Pages (from-to)186-191
Number of pages6
JournalUrology
Volume99
DOIs
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • Urology

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    Pathak, R. A., Broderick, G. A., Igel, T. C., Petrou, S. P., Young, P. R., Wehle, M. J., Heckman, M. G., Diehl, N. N., Vargas, E. R., Shah, K., & Thiel, D. D. (2017). Impact of Minimally Invasive Benign Prostatic Hyperplasia Therapies on 30- and 90-Day Postoperative Office Encounters. Urology, 99, 186-191. https://doi.org/10.1016/j.urology.2016.10.015