Comparative cost effectiveness of UroLift procedure to TURP
BAUS ePoster online library. Carrie A. 06/25/19; 259593; P9-7
Ms. Anne Carrie
Ms. Anne Carrie
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Abstract
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Introduction

Since the beginning of the 20th century trans urethral resection of prostate (TURP) has been the first line treatment of benign prostatic hyperplasia (BPH) . In 2015 the National Institute of Clinical Excellence (NICE) approved the use of prostatic urethral lift ( UroLift ) in the UK. Since the introduction of UroLift in Northampton General Hospital in 2018, it has been proven to be a cost effective alternative treatment of BPH.

Method

A retrospective collection of data comparing cost and outcomes of 20 UroLift procedures compared to 20 TURP. The cost of each procedure was calculated using several parameters including the length of hospital stay, theater time and the income received by the hospital.

RESULTS

The cost to the hospital of 20 UroLift was £45,194 and 20 TURP was £62,613. The NHS tariff paid to the hospital was £45,932 for 20 UroLift versus £41,856 for 20 TURP.
The cost saving for UroLift was £738 after 20 procedures versus a cost deficit of £20,758 for 20 TURP.

Conclusion

The minimally invasive UroLift procedure has proven to be cost effective when compared to the alternative TURP procedure and has even proved profitable.
Patient outcomes and length of stay have also significantly improved with UroLift compared to TURP.
Introduction

Since the beginning of the 20th century trans urethral resection of prostate (TURP) has been the first line treatment of benign prostatic hyperplasia (BPH) . In 2015 the National Institute of Clinical Excellence (NICE) approved the use of prostatic urethral lift ( UroLift ) in the UK. Since the introduction of UroLift in Northampton General Hospital in 2018, it has been proven to be a cost effective alternative treatment of BPH.

Method

A retrospective collection of data comparing cost and outcomes of 20 UroLift procedures compared to 20 TURP. The cost of each procedure was calculated using several parameters including the length of hospital stay, theater time and the income received by the hospital.

RESULTS

The cost to the hospital of 20 UroLift was £45,194 and 20 TURP was £62,613. The NHS tariff paid to the hospital was £45,932 for 20 UroLift versus £41,856 for 20 TURP.
The cost saving for UroLift was £738 after 20 procedures versus a cost deficit of £20,758 for 20 TURP.

Conclusion

The minimally invasive UroLift procedure has proven to be cost effective when compared to the alternative TURP procedure and has even proved profitable.
Patient outcomes and length of stay have also significantly improved with UroLift compared to TURP.
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