We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Exploration of Day Surgery. Photoselective Vaporisation of Prostate (PVP) in the Chinese population.
- Authors
Sun Jie; Shi An; Tong Zhen; Xue Wei
- Abstract
Background: The problems of "difficulty in hospitalization, overlong waiting time and hospital stays" beset patients with benign prostatic hyperplasia/lower urinary tract symptoms (BPH/LUTS) in China nowadays. As a reform attempt, the surgical ambulatory procedures of photoselective vaporization of prostate (PVP) have been implemented by the urology department of Renji Hospital since 2014. Objective: To explore the surgical effect and cost-effectiveness of day surgery versus inpatient surgery for PVP in Chinese population and present the flow chart of urologic ambulatory surgery. Patients and Methods: This is a retrospective study of consecutive 240 patients undergoing day-surgery PVP (April 2014 to April 2016) and 156 patients undergoing inpatient-surgery PVP (May 2012 to March 2014). Functional measurements used were International Prostate Symptom Score (IPSS), maximum flow rate (Qmax), residual urine volume (RUV), postoperative complication. Economical results in terms of hospital stay, relevant preoperative, intraoperative and postoperative cost. Results: There was no significant difference in operative time, incidence of postoperative complications and other functional outcomes between two groups (P>0.05), but the waiting time for admission and the hospital cost including the drug charges, bed fee, nursing fee, laboratory test and imaging fee of day-surgery group were significantly lower than that of inpatient surgery group (p<0.05). Conclusion: Ambulatory surgery of PVP has a firm and well-accepted position even in ambulatory surgery. It could significantly reduce the waiting time for admission and hospitalization costs.
- Subjects
CHINA; AMBULATORY surgery; COST effectiveness; ENDOSCOPIC surgery; MEDICAL care costs; PROSTATE diseases; RETROSPECTIVE studies; VOLATIZATION; DESCRIPTIVE statistics
- Publication
Ambulatory Surgery, 2019, Vol 25, Issue 3, p85
- ISSN
0966-6532
- Publication type
Article