Category: BPH/LUTS: Electrosurgery, Lasers & Other Technology
Introduction & Objective :
Aim: To study the trends and pattern of practice in minimally invasive BPH surgery pre and post introduction of Holmium laser enucleation of the prostate in August 2015 to a tertiary referral center.
We retrospectively reviewed the number and type of BPH surgeries that were done in our institution from January 2010 to November 2017. Procedures performed were solely transurethral resection of the Prostate (TURP), green light prostate vaporization (PVP) and robotic simple prostatectomy (RSP) before August 2015 with the addition of Holmium laser prostate enucleation of the prostate (HoLEP) after.
The average number of TURP, PVP and RSP pre and post introduction of HoLEP were 116 and 77 procedures/year, respectively. The average number of HoLEPs were 149 procedure per year post−August 2015. There was an increase in the total number of BPH surgeries with an average of 185 vs. 116 procedures before the introduction of HoLEP (figure 1). The mean postoperative specimen weight in the TURP, RSP, and HoLEP were 22.2 grams (1−118) vs. 81.1 grams (32−185) vs. 52.1 grams (5−325), respectively.
Introduction of HoLEP in a tertiary referral center decreased the number of TURP and PVP by 30%, and the number of RSP by 100%. However, it increased the total volume of BPH surgeries by 62%.These findings reflect the trust in HoLEP from both the surgeons and the patients due to the minimally invasive nature, and superiority in−regard the amount of prostate tissue resected and short recovery.
Kim Thai– Resident Physician, Baylor Scott and White Health, Temple, Texas
Erin Bird– Baylor Scott and White, Temple, Texas
Kristofer Wagner– Baylor Scott and White Health, Temple, Texas
Belur Patel– Temple, Texas
Patrick Lowry– Urologist, Texas A&M University/Scott & White Memorial hospital, Temple, Texas
Amr Elmekresh– Research assistant, Temple, Texas
Marawan El Tayeb– Assistant Professor, Baylor Scott and White Health, Temple, Texas
Texas A&M University/Scott & White Memorial hospital