|کد مقاله||کد نشریه||سال انتشار||مقاله انگلیسی||ترجمه فارسی||نسخه تمام متن|
|5688674||1599253||2017||6 صفحه PDF||سفارش دهید||دانلود کنید|
ObjectiveTo compare the frequency of postoperative encounters in the 30-day and 90-day postoperative periods for various bladder outlet obstruction surgical therapies.Materials and MethodsAll 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.ResultsTwo hundred and ninety-one consecutive patients underwent outlet procedures during the study period: TURP (Nâ=â199; mean age, 71 years; mean body mass index [BMI], 28.5), HoLEP (Nâ=â60; mean age, 68 years; mean BMI, 28.1), or GL-PVP (Nâ=â32; 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 (Pâ<â.001). Specifically, there were fewer encounters within 30 days of surgery for TURP compared to both HoLEP (â¥1 encounter: TURPâ=â48.7%, HoLEPâ=â66.7%; Pâ=â.006) and GL-PVP (â¥1 encounter: TURPâ=â48.7%, GL-PVPâ=â93.7%; Pâ<â.001). The number of encounters within 90 days postoperatively was also significantly lower for TURP patients (Pâ<â.001).ConclusionTURP 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.
Journal: Urology - Volume 99, January 2017, Pages 186-191