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- Title
Evaluation of post-Holmium laser enucleation of the prostate hospital readmissions.
- Authors
Gazel, Eymen; Kaya, Engin; Yalçın, Serdar; Yılmaz, Sercan; Bedir, Selahattin; Yılmaz, Mehmet; Tunç, Lütfi
- Abstract
Aims: Re-admission to the hospital after operation and discharge has become a topic of increasing interest in recent decades and is being studied due to its impact on countries' medical costs. We tried to examine the rates and causes of re-admission to the hospital in 30 days in patients who performed Holmium Laser Enucleation of the Prostate (HoLEP), a popular minimally invasive surgery in recent years. Methods: Patients who underwent HoLEP between July 2017 and April 2019 were retrospectively reviewed. Reasons and rates of re-admission to the hospital in the first 30 days of 300 patients meeting the inclusion criteria, and the way managing the situations were recorded. Results: In our study, readmission after HoLEP was observed in 26 patients (26/300) as 8.67% rate with nonspecific and specific causes. Other than nonspecific reasons, hematuria requiring or not requiring transfusion was the most common cause of readmission (2.3%). The second most common reason for readmission was acute urinary retention requiring three-day antiinflammatory therapy and recatheterization (1.67%). Urinary tract infection (1.33%) requiring oral or intravenous antibiotic therapy was the third most common specific cause. Conclusions: In the literature, readmission rates after HoLEP change between 5.5% and 17.8%. Readmission rate in our study was 8.67%, which is compatible with the literature. Knowing the reasons and rates of readmission after HoLEP is important to predict early complications after surgery and to manage these complications.
- Subjects
SURGICAL enucleation; PATIENT readmissions; MEDICAL care costs
- Publication
Gulhane Medical Journal, 2020, Vol 62, Issue 3, p170
- ISSN
1302-0471
- Publication type
Article
- DOI
10.4274/gulhane.galenos.2020.1017