MP51-01 COMPARING THE TREATMENT OF PATIENTS WITH AQUABEAM® AND HOLEP FOR BENIGN PROSTATE HYPERPLASIA

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP51-01 COMPARING THE TREATMENT OF PATIENTS WITH AQUABEAM® AND HOLEP FOR BENIGN PROSTATE HYPERPLASIA Carlos Toribio-Vázquez, Ramon Cansino, Esaú Fernández-Pascual, Aritz Eguibar, Hector Ayllon, Pablo Solano-Heranz, Jose Ramon Perez-Carral, Juan Antonio Mainez, Alvaro Yebes, Andrea Rodriguez, Maria Alonso, and Luis Martinez-Piñeiro Carlos Toribio-VázquezCarlos Toribio-Vázquez More articles by this author , Ramon CansinoRamon Cansino More articles by this author , Esaú Fernández-PascualEsaú Fernández-Pascual More articles by this author , Aritz EguibarAritz Eguibar More articles by this author , Hector AyllonHector Ayllon More articles by this author , Pablo Solano-HeranzPablo Solano-Heranz More articles by this author , Jose Ramon Perez-CarralJose Ramon Perez-Carral More articles by this author , Juan Antonio MainezJuan Antonio Mainez More articles by this author , Alvaro YebesAlvaro Yebes More articles by this author , Andrea RodriguezAndrea Rodriguez More articles by this author , Maria AlonsoMaria Alonso More articles by this author , and Luis Martinez-PiñeiroLuis Martinez-Piñeiro More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003299.01AboutAbstractPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic prostatic hydroablation (AquaBeam®) is a novel technique for the surgical treatment of benign prostatic hyperplasia (BPH). The objective of this study is to compare perioperative morbidity and treatment efficacy of prostatic hydroablation and Holmium laser prostate enucleation (HoLEP). METHODS: A total of 202 patients were analysed (101 by AquaBeam® and 101 by HoLEP) were analysed. A propensity score matching system was generated to obtain comparable cases from the HoLEP database at our institution. Patients included for analysis had undergone surgery in our department from April 2016 to October 2021. The following parameters where analysed: surgical time, haemoglobin (Hb) loss, length of stay, variation in Q-max, PSA, International Prostate Symptoms Score (IPSS), change in IPSS and in IPSS QoL, sexual function measured by the International Index of Erectile Function-5 item (IIEF-5), presence of ejaculation and perioperative morbidity. Median follow up was 12 months (IQR 12-36). RESULTS: Preoperative parameters were comparable between both groups (including prostate size, p=0.548). The perioperative and follow-up variables are shown in the following Table. No major differences in intraoperative complications were observed between both groups. With regards to postoperative complications, 17.3% vs 20.5% presented early urinary incontinence (AquaBeam® vs. HoLEP; p=0.62). 5 patients in the AquaBeam® group and 1 patient treated with HoLEP required blood transfusion (p=0.02). 2 patients treated with HoLEP and 5 with AquaBeam® required reoperation due to haematuria (p=0.03). 1 rectal perforation occurred and 1 patient died after a pneumonic process in the AquaBeam® group. CONCLUSIONS: Hydroablation surgery is an effective technique for patients with benign prostate hyperplasia. It offers good functional results whilst allowing the preservation of ejaculation. AquaBeam® presents a longer hospital admission mainly due to haematuria. The data presented compare our initial experience and learning curve with AquaBeam® with a well-established HoLEP technique in our department. Therefore, it must be regarded as preliminary. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e692 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Carlos Toribio-Vázquez More articles by this author Ramon Cansino More articles by this author Esaú Fernández-Pascual More articles by this author Aritz Eguibar More articles by this author Hector Ayllon More articles by this author Pablo Solano-Heranz More articles by this author Jose Ramon Perez-Carral More articles by this author Juan Antonio Mainez More articles by this author Alvaro Yebes More articles by this author Andrea Rodriguez More articles by this author Maria Alonso More articles by this author Luis Martinez-Piñeiro More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...