title: Multicenter study on costs associated with two surgical procedures: GreenLight XPS 180 W versus the gold standard transurethral resection of the prostate.
abstract: OBJECTIVE
  To analyze the costs associated with two surgical procedures for lower urinary tract symptoms secondary to benign prostatic hyperplasia: GreenLight XPS 180¦W versus the gold standard transurethral resection of the prostate.
  
  
  METHODS
  A multicenter, retrospective cost study was carried out from the National Health Service perspective, over a 3-month time period. Costs were broken down into pre-surgical, surgical and post-surgical phases. Data were extracted from records of patients operated sequentially, with IPSS=15, Qmax=15 mL/seg and a prostate volume of 40-80mL, adding only direct healthcare costs (€, 2013) associated with the procedure and management of complications.
  
  
  RESULTS
  A total of 79 patients sequentially underwent GL XPS (n: 39) or TURP (n: 40) between July and October, 2013. Clinical outcomes were similar (94.9% and 92.5%, GL XPS and TURP, respectively) without significant differences (P=.67). The average direct cost per patient was reduced by €114 in GL XPS versus TURP patients; the cost was higher in the surgical phase with GL XPS (difference: €1,209; P<.001) but was lower in the post-surgical phase (difference: €-1,351; P<.001).
  
  
  CONCLUSIONS
  The GreenLight XPS 180-W laser system is associated with a reduction in costs with respect to transurethral resection of prostate in the surgical treatment of LUTS secondary to PBH. This reduction is due to a shorter inpatient length of stay that offsets the cost of the new technology.
authors: Servicio de Urología, Hospital de Manacor, Mallorca, España.
authors: J M
authors: JM
authors: Benejam-Gual
authors: Proyectos de Farmacoeconomía, Navacerrada, Madrid, España. Electronic address: a.sanzgranda@terra.com.
authors: A
authors: A
authors: Sanz-Granda
authors: Servicio de Urología, Hospital de La Fe, Valencia, España.
authors: A
authors: A
authors: Budía
authors: Servicio de Urología, Hospital de Vitoria, Álava, España.
authors: J
authors: J
authors: Extramiana
authors: Servicio de Urología, Hospital de Alcorcón, Madrid, España.
authors: C
authors: C
authors: Capitán
mesh_terms: D000368:Aged; D003365:Costs and Cost Analysis; D006801:Humans; D053685:Laser Therapy; D059411:Lower Urinary Tract Symptoms / Q000191:economics / Q000209:etiology / Q000601:surgery; D008297:Male; D011468:Prostatectomy / Q000191:economics* / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000150:complications / Q000191:economics* / Q000601:surgery*; D012189:Retrospective Studies
keywords: Benign prostate hyperplasia; Cost; Coste; Green Light Photovaporization 180W; Hiperplasia benigna de próstata; Resección transuretral de la próstata; Transurethral resection of the prostate