title: [Transurethral resection (TUR) in saline plasma vaporization of the prostate versus standard TUR of the prostate: an economic evaluation].
abstract: OBJECTIVE
  To evaluate and compare the hospital costs of the transurethral resection in saline plasma vaporization of the prostate (TURis-PVP) and the standard TUR of the prostate (TURP).
  
  
  BACKGROUND
  their efficiency and short terms outcomes are similar.
  
  
  METHODS
  In an observational retrospective and monocentric study, 86 consecutive patients with benign prostatic enlargement (BPE) secondary to benign prostatic hyperplasia (BPH) were enrolled in two non randomized groups. TURP was performed in 44 cases and TURis-PVP in 42 cases. Patients with prostate cancer, urethral stenosis or bladder neck stenosis were not included. Hospital costs with a 3-month follow-up were measured using the database and hospital cost accounting system of the Medical Information Department.
  
  
  RESULTS
  Patients from both series had similar preoperative characteristics concerning the age, ASA score, urologic history, and antithrombosis treatments. Catheterization period, complications and rehospitalisation rates were similar. With TURis-PVP, prostatic volume was larger (60±24mL vs. 42±16mL; P<0.05), hospital stay was shorter (4.0±2.8days vs. 4.4±2.1days; P<0.05), single-used materials costs were higher (332±64€ vs. 40±18€; P<0.05). The costs of the first hospitalization were 3721±843€ with TURis-PVP and were 3712±880€ with TURP (P=0.14). Global costs with a 3-month follow-up were 3867±1104€ with TURis-PVP and were 4074±1624€ with TURP (P=0.53).
  
  
  CONCLUSIONS
  In this study, the costs for the hospital are lightly higher in TURis-PVP, due to single use systems, but there is no significant difference for global costs between TURP and TURis-PVP with a 3-month follow-up difference for the health care system.
authors.affiliation: Service d'urologie, CHU de Toulouse, Toulouse cedex, France. gautierrollin@yahoo.fr
authors.forename: G
authors.initials: G
authors.lastname: Rollin
authors.forename: P
authors.initials: P
authors.lastname: Soler
authors.forename: P
authors.initials: P
authors.lastname: Rischmann
authors.forename: D
authors.initials: D
authors.lastname: Fabre
authors.forename: B
authors.initials: B
authors.lastname: Malavaud
authors.forename: M
authors.initials: M
authors.lastname: Soulié
authors.forename: L
authors.initials: L
authors.lastname: Molinier
mesh_terms: D000368:Aged; D017721:Hospital Costs; D006801:Humans; D008297:Male; D011470:Prostatic Hyperplasia / Q000191:economics* / Q000601:surgery*; D012189:Retrospective Studies; D020728:Transurethral Resection of Prostate / Q000191:economics* / Q000379:methods*