Changing patients' profile presenting for surgical management of benign prostatic hyperplasia over the past 16 years: A single-centre perspective

Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada
Mohamed A ElkoushyMostafa M Elhilali

Abstract

We assessed the change of patients' profile presenting for symptomatic benign prostatic hyperplasia (BPH) over 16 years and its impact on surgical outcomes over this time. We reviewed a prospectively maintained database of patients treated with laser for symptomatic BPH since March 1998. Patients were divided into 3 consecutive time-based groups: Group 1 for patients who underwent surgery before April 2004; Group 2, between April 2004 and March 2009; and for Group 3 from April 2009 to August 2014. We reviewed demographic and preoperative data, including prostate volume; international prostate symptoms score (IPSS), quality of life (QoL), and peak flow rate (Qmax). We also recorded any perioperative and long-term complications. A total of 1835 patients were included in our study, including 542 (29.5%) in Group 1, 614 (33.5%) in Group 2, and 679 (37%) in Group 3. Preoperative prostate volume was positively correlated with age at surgery (r = 0.62, p < 0.001), total energy used (r = 0.47, p < 0.001), and total operative time (r = 0.47, p < 0.001). Patients in Group 3 were significantly older (75.28 ± 8.47 in Group 3 vs. 71.11 ± 8.9 in Group 2 vs. 65.3 ± 9.04 years in Group 1, p <0.001), were more coagulopathic (18.7% Group 3 vs. 1...Continue Reading

Citations

Jul 19, 2017·Current Urology Reports·Fabrizio PresicceAndrea Tubaro
Jul 1, 2017·Urologia·Fabrizio PresicceAndrea Tubaro
Dec 22, 2015·The Journal of Urology·Mostafa M Elhilali, Mohamed Elkoushy
Jan 29, 2021·International Neurourology Journal·Jung Ki JoHong Sang Moon

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