In:
Urologia Internationalis, S. Karger AG, Vol. 105, No. 9-10 ( 2021), p. 869-874
Abstract:
〈 b 〉 〈 i 〉 Introduction: 〈 /i 〉 〈 /b 〉 The aim of the study is to compare length of hospital stay, transfusion rates, and re-intervention rates during hospitalization for transurethral resection of the prostate (TUR-P), open prostatectomy (OP), and laser therapy (LT) for surgical treatment of benign prostatic obstruction (BPO). 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 URO-Cert is an organization, in which clinical data of prostatic diseases from 2 university, 19 public, and 3 private hospitals and 270 office-based urologists are collected in order to document treatment quality. Data on diagnostics, therapy, and course of disease are recorded web based. The analysis includes datasets from 2005 to 2017. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 Of 10,420 patients, 8,389 were treated with TUR-P, 1,334 with OP, and 697 with LT. Median length of hospital stay was 6 days (IQR: 4–7) for TUR-P, 9 days (IQR: 7–11) for OP, and 5 days (IQR: 4–6) for LT ( 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001). Risk for a hospital stay ≥7 days was higher for OP versus TUR-P (OR: 7.25; 95% CI = 6.27–8.36; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001) and LT (OR: 17.89; 95% CI = 14.12–22.65; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001) and higher for TUR-P versus LT (OR: 2.47; 95% CI = 2.03–3.01; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001). OP had a significantly higher risk for transfusions than TUR-P (OR: 2.44; 95% CI = 1.74–3.41; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001) and LT (OR: 3.32; 95% CI = 1.56–7.01; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001). Transfusion rates were not significantly different between TUR-P and LT (OR: 1.36; 95% CI = 0.66–2.79; 〈 i 〉 p 〈 /i 〉 = 0.51). Risk of re-intervention was not different between all 3 approaches. 〈 b 〉 〈 i 〉 Conclusion: 〈 /i 〉 〈 /b 〉 OP was associated with higher transfusion rates and longer hospital stay than TUR-P and LT. Risk of transfusion was not different between TUR-P and LT, but TUR-P was inferior to LT concerning length of hospital stay. Re-intervention rates during hospitalization did not differ between the groups.
Type of Medium:
Online Resource
ISSN:
0042-1138
,
1423-0399
Language:
English
Publisher:
S. Karger AG
Publication Date:
2021
detail.hit.zdb_id:
1464417-4
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