Mp45-01 influence of holmium laser cystolitholapaxy on perioperative outcomes during holmium laser enucleation of the prostate in a 1000 patients’ series.

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology III (MP45)1 Apr 2019MP45-01 INFLUENCE OF HOLMIUM LASER CYSTOLITHOLAPAXY ON PERIOPERATIVE OUTCOMES DURING HOLMIUM LASER ENUCLEATION OF THE PROSTATE IN A 1000 PATIENTS’ SERIES. Javier Romero-Otero*, Esther Rojo, Borja García Gómez, Juan Justo Quintas, Javier Gil Moradillo, Daniel Antonio González Padilla, Lucía García González, Raquel Sopeña Sutil, José Manuel Duarte Ojeda, and Alfredo Rodríguez Antolín Javier Romero-Otero*Javier Romero-Otero* More articles by this author , Esther RojoEsther Rojo More articles by this author , Borja García GómezBorja García Gómez More articles by this author , Juan Justo QuintasJuan Justo Quintas More articles by this author , Javier Gil MoradilloJavier Gil Moradillo More articles by this author , Daniel Antonio González PadillaDaniel Antonio González Padilla More articles by this author , Lucía García GonzálezLucía García González More articles by this author , Raquel Sopeña SutilRaquel Sopeña Sutil More articles by this author , José Manuel Duarte OjedaJosé Manuel Duarte Ojeda More articles by this author , and Alfredo Rodríguez AntolínAlfredo Rodríguez Antolín More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000556264.71248.6cAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: Despite the advantages of holmium laser (HoLEP ) for concomitant treatment of prostate enucleation and lithiasis treatment (cystolitholapaxy) studies about the simultaneous use of these techniques in patients with BPH and concomitant bladder lithiasis are scarce. As a result of our enucleation program implemented in three centers in Madrid (Spain), a large series of BPH patients with large prostate volumes and high comorbidity burden, including patients with concomitant urolithiasis, was collected. The objective of this study is to assess the influence of holmium laser cystolitholapaxy (HLC) concomitantly with holmium laser prostate enucleation (HoLEP) on patients with benign prostatic hyperplasia (BPH) presenting bladder calculi. METHODS: Retrospective analysis of patients with BPH (with or without concomitant HLC) at three Spanish centers. Intraoperative variables (e.g., time and resected tissue), changes in functional parameters of the prostate, and frequency of complications (intraoperative, early postoperative, and at 12 months) in patients with and without HLC were compared. RESULTS:: The analysis included 963 patients aged 48 to 91 years, of which 54 (5.6%) underwent HLC to treat vesical lithiasis. Mean (range) prostate size (measured by transrectal ultrasound) was 79 (43-173) g and 91 (35-247) g for patients with and without concomitant HLC, respectively (p=0.080) All bladder calculi were successfully removed. No significant differences were found regarding enucleation and morcellation times, but total operation time was significantly higher in patients with HLC: mean (SD) of 78 (27) minutes vs. 95 (41) minutes (p<0.001). Three patients required conversion to open surgery due to bladder perforation, all of them from the group without HLC. Rates of intraoperative, early, and 12-month complications were similar in both groups. No significant differences in IPSS, Qmax, and mean flow were observed between groups 12 months after surgery. CONCLUSIONS: Simultaneous HoLEP and HLC increases the total operation time, but does not influence the risk of clinically relevant perioperative and postoperative complications. Source of Funding: none Madrid, Spain© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e637-e637 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Javier Romero-Otero* More articles by this author Esther Rojo More articles by this author Borja García Gómez More articles by this author Juan Justo Quintas More articles by this author Javier Gil Moradillo More articles by this author Daniel Antonio González Padilla More articles by this author Lucía García González More articles by this author Raquel Sopeña Sutil More articles by this author José Manuel Duarte Ojeda More articles by this author Alfredo Rodríguez Antolín More articles by this author Expand All Advertisement PDF downloadLoading ...