title: Impact of Minimally Invasive Benign Prostatic Hyperplasia Therapies on 30- and 90-Day Postoperative Office Encounters.
abstract: OBJECTIVE
  To compare the frequency of postoperative encounters in the 30-day and 90-day postoperative periods for various bladder outlet obstruction surgical therapies.
  
  
  METHODS
  All patients who underwent transurethral resection of the prostate (TURP), GreenLight laser photovaporization of the prostate (GL-PVP) (American Medical Systems Inc.), and holmium laser enucleation of the prostate (HoLEP) from January 1, 2012 to December 31, 2014 were followed for 6 months postoperatively. All postoperative encounters such as patient calls or questions, catheter exchanges or removals, and hospital-based readmissions or emergency department visits were recorded in the electronic medical record.
  
  
  RESULTS
  Two hundred and ninety-one consecutive patients underwent outlet procedures during the study period: TURP (N = 199; mean age, 71 years; mean body mass index [BMI], 28.5), HoLEP (N = 60; mean age, 68 years; mean BMI, 28.1), or GL-PVP (N = 32; mean age, 72 years; mean BMI, 29.3). No statistically significant difference was observed for age, BMI, preoperative American Urological Association symptom score, or preoperative maximum flow velocity between the 3 groups. Thirty-day postoperative encounters differed significantly between the 3 surgery types (P < .001). Specifically, there were fewer encounters within 30 days of surgery for TURP compared to both HoLEP (≥1 encounter: TURP = 48.7%, HoLEP = 66.7%; P = .006) and GL-PVP (≥1 encounter: TURP = 48.7%, GL-PVP = 93.7%; P < .001). The number of encounters within 90 days postoperatively was also significantly lower for TURP patients (P < .001).
  
  
  CONCLUSIONS
  TURP results in fewer postoperative encounters in both the 30-day and 90-day postoperative periods compared to HoLEP and GL-PVP. Laser prostate therapies may place increased burden on clinic staff during the 30-day and 90-day postoperative periods.
authors: Department of Urology, Mayo Clinic, Jacksonville, FL.
authors: Ram A
authors: RA
authors: Pathak
authors: Department of Urology, Mayo Clinic, Jacksonville, FL.
authors: Gregory A
authors: GA
authors: Broderick
authors: Department of Urology, Mayo Clinic, Jacksonville, FL.
authors: Todd C
authors: TC
authors: Igel
authors: Department of Urology, Mayo Clinic, Jacksonville, FL.
authors: Steven P
authors: SP
authors: Petrou
authors: Department of Urology, Mayo Clinic, Jacksonville, FL.
authors: Paul R
authors: PR
authors: Young
authors: Department of Urology, Mayo Clinic, Jacksonville, FL.
authors: Michael J
authors: MJ
authors: Wehle
authors: Division of Biomedical Statistics and Informatics, Mayo Clinic, Jacksonville, FL.
authors: Michael G
authors: MG
authors: Heckman
authors: Division of Biomedical Statistics and Informatics, Mayo Clinic, Jacksonville, FL.
authors: Nancy N
authors: NN
authors: Diehl
authors: Division of Biomedical Statistics and Informatics, Mayo Clinic, Jacksonville, FL.
authors: Emily R
authors: ER
authors: Vargas
authors: Department of Urology, Mayo Clinic, Jacksonville, FL; Georgia State University, Atlanta, GA.
authors: Kandarp
authors: K
authors: Shah
authors: Department of Urology, Mayo Clinic, Jacksonville, FL. Electronic address: Thiel.David@mayo.edu.
authors: David D
authors: DD
authors: Thiel
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D053685:Laser Therapy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D009819:Office Visits / Q000639:trends*; D011183:Postoperative Complications / Q000453:epidemiology*; D011379:Prognosis; D011470:Prostatic Hyperplasia / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D013997:Time Factors; D020728:Transurethral Resection of Prostate / Q000009:adverse effects* / Q000379:methods; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology* / Q000601:surgery