Complications of the 180Watt XPS™ GreenLight laser-results of 1283procedures

Abstract

The aim of this study was to classify and analyze postoperative complications under anew inspection method. This study assessed all patients who presented to the urologic ward within the first 3months after their surgery. A total of 170 patients suffered from complications due to the surgery; 29patients experienced complications that were not directly correlated with the surgery. Age, American Society of Anesthesiologists (ASA) score, the emitted laser energy of the 180Watt XPS™ GreenLight laser measured in joules, and the complications which led to the renewed hospitalization such as hematuria, urinary retention, and infection were analyzed and compared in the two groups of patients. Most complications that occurred were urinary retention and hematuria (50.6% and 49.4% of all patients, respectively). Of the patients with hematuria, 86.75% were under anticoagulant therapy medication. Compared with the reference approval study (Goliath trial) that included 135multicentric patients (14.07% of patients presented with acomplication classified as Clavien-DindoII), the rate of complications was similar. This outcome is surprising because the patients treated with the GreenLight laser in the present study were classified as geriatric patients not only according to their age but also in their ASA score which is an indication of multiple other pathologies and administered medications. To achieve long-term postoperative success for these patients, the interface between the ambulatory and the hospital care should be optimized.