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World Journal of Urology

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01-11-2020 | Urinary Tract Infection | Original Article

Laser enucleation of the prostate versus transurethral resection of the prostate: perioperative outcomes from the ACS NSQIP database

Authors: Nassib Abou Heidar, Muhieddine Labban, Vincent Misrai, Aurelie Mailhac, Hani Tamim, Albert El-Hajj

Published in: World Journal of Urology | Issue 11/2020

Abstract

Purpose

To compare the perioperative outcomes associated with laser enucleation of the prostate (LEP) and transurethral resection of the prostate (TURP) using a national database.

Methods

The American College of Surgeons National Surgical Quality Improvement Program database was reviewed for patients who underwent TURP or LEP from 2008 to 2016. Baseline demographics, comorbidities, and predisposition to bleeding were compared between TURP and LEP. The 30-day perioperative outcomes including operative time, length of hospital stay (LOS), return to the operating room (OR), bleeding requiring transfusion, and organ system-specific complications were compared between the procedures. A multivariate logistic regression analysis was performed, adjusting for the type of surgery and other covariates.

Results

The series included 37,577 TURP and 2869 LEP procedures. While TURP was associated with a shorter operative time (55.20 ± 37.80 min) than LEP (102.80 ± 62.30 min), the latter was associated with a shorter hospital stay (1.29 ± 2.73 days) than TURP (2.05 ± 5.20 days). Compared to TURP, LEP had 0.52 (0.47–0.58) times the odds of a LOS > 1 day and 0.67 (0.54–0.83) times the odds of developing urinary tract infections. Nevertheless, no difference was found for other postoperative complications, need for transfusion, and return to OR.

Conclusion

Real-life data from a large national database confirmed that LEP is a safe and reproducible procedure to treat benign prostatic obstruction. Compared to TURP, LEP was associated with a lower rate of infectious complications and a shorter LOS at the expense of an increased operative time.

Partially dependent patients require assistance from another person for activities of daily activities. This category also includes those relying on prosthetics and devices. Totally dependent patients require total assistance for all activities.

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Title: Laser enucleation of the prostate versus transurethral resection of the prostate: perioperative outcomes from the ACS NSQIP database
Authors: Nassib Abou Heidar
Muhieddine Labban
Vincent Misrai
Aurelie Mailhac
Hani Tamim
Albert El-Hajj
Publication date: 01-11-2020
Publisher: Springer Berlin Heidelberg
Keywords: Urinary Tract Infection
Transurethral Prostate Resection
Laser
Published in: World Journal of Urology / Issue 11/2020
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-020-03100-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laser enucleation of the prostate versus transurethral resection of the prostate: perioperative outcomes from the ACS NSQIP database

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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