MP01-07 FACTORS ASSOCIATED WITH USE OF PROSTATIC URETHRAL LIFT (PUL)

Abstract

You have accessJournal of UrologyCME1 May 2022MP01-07 FACTORS ASSOCIATED WITH USE OF PROSTATIC URETHRAL LIFT (PUL) Samantha L. Thorogood, Tenny R. Zhang, Christina Sze, Gina DeMeo, Mary O. Strasser, Richard K. Lee, Bilal Chughtai, Alexis Te, and Jim C. Hu Samantha L. ThorogoodSamantha L. Thorogood More articles by this author , Tenny R. ZhangTenny R. Zhang More articles by this author , Christina SzeChristina Sze More articles by this author , Gina DeMeoGina DeMeo More articles by this author , Mary O. StrasserMary O. Strasser More articles by this author , Richard K. LeeRichard K. Lee More articles by this author , Bilal ChughtaiBilal Chughtai More articles by this author , Alexis TeAlexis Te More articles by this author , and Jim C. HuJim C. Hu More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002513.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: PUL vs. other benign prostatic hyperplasia (BPH) surgical approaches improves preservation of antegrade ejaculation and shortens both operative time and postoperative catheterization. We investigated trends associated with its use. METHODS: We obtained de-identified, self-reported American Board of Urology (ABU) case logs from 2015-2021. We identified 4,131 urologists who performed 48,610 surgeries with an indication for BPH per ICD coding. CPT codes distinguished BPH surgical approaches. We identified 786 urologists who performed 7,895 PUL: 24 urologists only performed PUL, and 3,345 urologists did not perform any PUL. A logistic regression model assessed factors independently associated with PUL use. RESULTS: Annual PUL surgeon volume ranged from 101 to 2,852 cases; PUL comprised 1.6% of BPH surgeries in 2015 and increased to 32.5% in 2020. In adjusted analyses (Table 1), factors associated with higher odds of performing PUL included subspecialization in andrology (odds ratio [OR] 4.01, 95% CI 1.94-8.29); practice area population >1,000,000 (OR 1.55, 95% CI 1.01-2.38); and government (OR 4.22, 95% CI 1.83-9.74), private practice group (OR 2.68, 95% CI 1.53-4.68), and salaried hospital employment (OR 1.94, 95% CI 1.00-3.96). The operative year (OR 1.66 per year, 95% CI 1.54-1.80) and surgeon BPH surgical volume (OR 1.02 per case increase, 95% CI 1.01-1.02) were associated with increased odds of performing PUL. Endourology subspecialization was associated with lower odds of PUL (OR 0.40, 95% CI 0.2-0.8). Geographic region, surgeon age, surgeon gender, certification vs recertification status, and patient age were not associated with PUL use. CONCLUSIONS: PUL utilization varies based on subspecialization, practice area, practice type, and BPH surgeon volume. Use of PUL has increased significantly and currently comprises one third of all BPH surgeries. More study is needed to determine durability of PUL outcomes particularly given its current widespread use and increasing adoption. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e3 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Samantha L. Thorogood More articles by this author Tenny R. Zhang More articles by this author Christina Sze More articles by this author Gina DeMeo More articles by this author Mary O. Strasser More articles by this author Richard K. Lee More articles by this author Bilal Chughtai More articles by this author Alexis Te More articles by this author Jim C. Hu More articles by this author Expand All Advertisement PDF DownloadLoading ...