Benign prostatic hyperplasia surgical scoring (BPHSS): an novel scoring system for the perioperative outcomes of holmium laser enucleation of the prostate.

Lasers in Medical Science
Huan XuZhong Wang

Abstract

To develop a standardized scoring system, the BPH surgical scoring (BPHSS) system, to quantify the ability to predict the perioperative outcomes resulting from an enlarged prostate. There are two parts included in this study: the retrospective observational study (875 patients treated with holmium laser enucleation of the prostate, HoLEP) and the prospective observational study (111 patient underwent HoLEP). All the outcome data included the following: the basic patient preoperative characteristics, operation time (OT), pre- and post- surgery hemoglobin decrease, Na+ variation, hospital stay duration, duration of bladder irrigation, catheterization time, and hospitalization time. The BPHSS, consisting of prostatic volume (PV), prostate-specific antigen (PSA), bladder stones, intravesical prostatic protrusion (IPP), and metabolic syndrome (MetS), was observed regarding the perioperative outcomes. In the retrospective study, patients in high BPHSS group (6-8 points) showed significant increase in the OT (74.61, 95%CI = 16.98-327.84, P < 0.001), hemochrome reduction (416.50, 95%CI = 35.48-4889.88, P < 0.001), hospital stay (1.80, 95%CI = 1.35-2.41, P < 0.001), and bladder irrigation duration (4.04, 95%CI = 1.35-12.10, P = 0.013) c...Continue Reading

References

Aug 2, 2003·Urology·David C Miller, John M Park
Sep 27, 2003·BJU International·A H H Tan, P J Gilling
Oct 1, 2005·Urology·Ehab A ElzayatMostafa M Elhilali
Aug 26, 2006·Current Urology Reports·Sanjay KasturiKevin T McVary
Sep 6, 2006·The Journal of Urology·Leonard S MarksGerald L Andriole
Nov 29, 2011·European Urology·Cosimo De NunzioJ Kellogg Parsons
Oct 12, 2012·Current Urology Reports·Simon van Rij, Peter J Gilling
Nov 20, 2013·Current Opinion in Urology·Arman Kahokehr, Peter J Gilling
Mar 7, 2014·Nature Reviews. Urology·Malte Rieken, Alexander Bachmann
Jan 13, 2016·Nature Reviews. Urology·Linda VignozziMario Maggi
Jan 24, 2017·The Journal of Urology·Peter GillingAndrew Tan
Jan 29, 2017·Clinical Science·Huan XuZhong Wang

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