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- Title
Age-stratified outcomes of holmium laser enucleation of the prostate.
- Authors
Mmeje, Chinedu O.; Nunez‐Nateras, Rafael; Warner, Jonathan N.; Humphreys, Mitchell R.
- Abstract
Objective To present the first age-stratified assessment of outcomes after holmium laser enucleation of the prostate ( HoLEP) for the treatment of lower urinary tract symptoms resulting from prostate enlargement., Patients and Methods We retrospectively analysed and compared the morbidity, and the peri-operative and functional outcomes of patients aged 50-59, 60-69, 70-79 and ≥80 years. Complications at 30 days were stratified using the Clavien system., Functional outcomes were assessed using the International Prostate Symptom Score ( IPSS), maximum urinary flow rate ( Qmax), post-void residual urine volume ( PVR) and urinary continence., Results A total of 311 patients underwent HoLEP for obstructive voiding symptoms from August 2007 to June 2011, of whom 22 patients were aged 50-59 years, 91 were aged 60-69 years, 153 were aged 70-79 years, and 45 were aged ≥80 years., The overall morbidity rates were similar among the age groups (20, 24.4, 21.6 and 22.1% for groups 1, 2, 3 and 4, respectively), as were the incidence of significant complications ( Clavien grade ≥ III), change in serum haemoglobin level, and length of hospital stay., Patients ≥80 years did have a longer catheterization time (3.4 days) than patients aged 50-59 years (1.68 days)., By 1 year there were no significant differences in urinary continence, IPSS, Qmax, or PVR among the age groups., Conclusions Overall morbidity, hospital stay, and 1-year functional outcomes of HoLEP were similar among all age groups., This study shows that HoLEP is a safe and effective treatment for benign prostatic hyperplasia regardless of age.
- Subjects
MEDICAL lasers; HOLMIUM; HYPERPLASIA treatment; BENIGN prostatic hyperplasia; URINALYSIS; TRANSURETHRAL prostatectomy; PROSTATE surgery
- Publication
BJU International, 2013, Vol 112, Issue 7, p982
- ISSN
1464-4096
- Publication type
Article
- DOI
10.1111/bju.12063