Category: BPH/LUTS: Electrosurgery, Lasers & Other Technology

MP33-16 - The impact of metabolic syndrome on peroperative and postoperative results of the HoLEP surgery

Sun, Sep 23
2:00 PM - 4:00 PM

Introduction & Objective : To investigate the safety and success of Holmium Laser Enuclation of Prostate (HoLEP) surgery in patients with metabolic syndrome (MS) versus in patients without MS that have similar prostate sizes.


Methods : Data from 119 patients who underwent HoLEP by a single surgeon between November 2015 and January 2018 were retrospetively analyzed. Group 1 (n=40) and Group 2 (n=79) were consisted of patients with and without MS, respectively.Preoperative and postoperative 3 rd month control variables included; haemoglobin level (gram/decilitre), International Prostate Symptom Score (IPSS), uroflowmetry parameters such as maximum flow rate (Qmax) (mL/sec), average flow rate (Qave) (mL/sec), post voided residue (PVR) (mL), voiding time (VT) (sec), time to maximum flow rate (MVT) (sec) were compared between the groups.


Results : In between the two groups’ postoperative outcomes only hospitalization time (HT) (hour) was significant among IPSS, Qmax, Qave, PVR, VT, MVT, Hb decrease(g/dL) and catheterization time (CT) (hour) (p=0.03). Perioperative outcomes as enuclated tissue weight (ETW) (g), efficiency of enuclation (EE) (g/min), enuclation rate (ER) (%), efficiency of morcelation (EM) (g/min), enuclation time (ET) (g/min), morcelation time (MT) (min), total operation time (TOT) (min), total laser energy (TLE) (joule) and efficiency of laser (E) (joule/g) were compared as insignificant in between the two groups (p>0.05).


Conclusions : We found that HoLEP can be considered as a safe and effective surgical treatment for the patients with MS.

Serdar Yalcin

Urologist
Ankara, Ankara, Turkey

Tahsin Batuhan Aydogan

Urologist
Goksun, Kahramanmaras, Turkey

Engin Kaya

Urologist
Ankara, Ankara, Turkey

Eymen Gazel

Urologist
acibadem
Ankara, Ankara, Turkey

Im working İn Acibaem University Ankara hospital as Asist.Prof in Ankara,Turkey

Halil Cagri Aybal

Urologist
Ankara, Ankara, Turkey

Lutfi Tunc

Urologist
Gazi University School of Medicine Dept. of Urology
Ankara, Ankara, Turkey