HoLEP in men with catheter-dependent urinary retention: Does early surgical intervention result in better outcome?
BAUS ePoster online library. Thakare N. 11/10/20; 304204; P8-9 Disclosure(s): No conflicts to declare
Ms. Niyukta Thakare
Ms. Niyukta Thakare
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HoLEP in men with catheter-dependent urinary retention: Does early surgical intervention result in better outcome?

Thakare N1, Maw J1, Stewart G1, Aho T1
1Addenbrooke's Hospital, Cambridge, United Kingdom

Introduction:
Catheter-dependent urinary retention is the indication for surgery in around 55% of men undergoing HoLEP at our centre. Men have indwelling catheters for extended periods of time. We compare the surgical outcomes for HoLEP on an emergency (< 2weeks), urgent (2-4weeks) or routine (>1month) basis for catheter-dependent urinary retention.
Materials and Methods: From a prospective database, 221 men who underwent HoLEP (2004-2010) were divided into three groups according to preoperative catheter duration. Group 1 (n=11) had preoperative catheter for < 2weeks, Group 2 (n = 43): 2-4weeks and Group 3 (n=167): >1month. Data included enucleation weight, change in Hb, length of stay, TWOC success and postoperative IPSS, QoL and Qmax at 3 months.

Results:
Median prostate weight was 46, 53 and 65gm and postoperative Hb reduction was 1.3, 1.5 and 1.2gm/dl in Groups 1, 2 and 3 (one-way ANOVA: not significant). All patients in Group 1 had successful TWOC, 1 patient each in Group 2 (2.3%) and Group 3 (0.6%) failed TWOC. Median postoperative hospital stay was 1 day in all 3 groups. Complications included capsular perforation (n=1) in Group 2 and Urosepsis (n=4) in Group 3. No significant differences were demonstrated in IPSS, QoL and Qmax (p>0.05), median IPSS=5.5, 3.5 and 4 in Group 1, 2 and 3, and median QoL=1 in all 3 groups.

Conclusions:
These results indicate that HoLEP outcomes are independent of preoperative catheter duration. Published data describes the degree of catheter morbidity suffered by men awaiting surgery. These findings are incentives to strive for early operative intervention as there are no downsides to early HoLEP for men in urinary retention.
HoLEP in men with catheter-dependent urinary retention: Does early surgical intervention result in better outcome?

Thakare N1, Maw J1, Stewart G1, Aho T1
1Addenbrooke's Hospital, Cambridge, United Kingdom

Introduction:
Catheter-dependent urinary retention is the indication for surgery in around 55% of men undergoing HoLEP at our centre. Men have indwelling catheters for extended periods of time. We compare the surgical outcomes for HoLEP on an emergency (< 2weeks), urgent (2-4weeks) or routine (>1month) basis for catheter-dependent urinary retention.
Materials and Methods: From a prospective database, 221 men who underwent HoLEP (2004-2010) were divided into three groups according to preoperative catheter duration. Group 1 (n=11) had preoperative catheter for < 2weeks, Group 2 (n = 43): 2-4weeks and Group 3 (n=167): >1month. Data included enucleation weight, change in Hb, length of stay, TWOC success and postoperative IPSS, QoL and Qmax at 3 months.

Results:
Median prostate weight was 46, 53 and 65gm and postoperative Hb reduction was 1.3, 1.5 and 1.2gm/dl in Groups 1, 2 and 3 (one-way ANOVA: not significant). All patients in Group 1 had successful TWOC, 1 patient each in Group 2 (2.3%) and Group 3 (0.6%) failed TWOC. Median postoperative hospital stay was 1 day in all 3 groups. Complications included capsular perforation (n=1) in Group 2 and Urosepsis (n=4) in Group 3. No significant differences were demonstrated in IPSS, QoL and Qmax (p>0.05), median IPSS=5.5, 3.5 and 4 in Group 1, 2 and 3, and median QoL=1 in all 3 groups.

Conclusions:
These results indicate that HoLEP outcomes are independent of preoperative catheter duration. Published data describes the degree of catheter morbidity suffered by men awaiting surgery. These findings are incentives to strive for early operative intervention as there are no downsides to early HoLEP for men in urinary retention.
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