MP71-09 FUNCTIONAL ANALYSIS OF PATIENT OUTCOMES FOLLOWING DIFFERENT SURGICAL INTERVENTIONS FOR BENIGN PROSTATE HYPERPLASIA THROUGH THE ADMINISTRATION OF AN INDEPENDENT SURVEY

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Evaluation and Symptoms1 Apr 2015MP71-09 FUNCTIONAL ANALYSIS OF PATIENT OUTCOMES FOLLOWING DIFFERENT SURGICAL INTERVENTIONS FOR BENIGN PROSTATE HYPERPLASIA THROUGH THE ADMINISTRATION OF AN INDEPENDENT SURVEY Haidar Abdul-Muhsin, Mark Tyson, Paul Andrews, Erik Castle, Robert Ferrigni, Wolter Christopher, Swanson Scott, and Mitchell Humphreys Haidar Abdul-MuhsinHaidar Abdul-Muhsin More articles by this author , Mark TysonMark Tyson More articles by this author , Paul AndrewsPaul Andrews More articles by this author , Erik CastleErik Castle More articles by this author , Robert FerrigniRobert Ferrigni More articles by this author , Wolter ChristopherWolter Christopher More articles by this author , Swanson ScottSwanson Scott More articles by this author , and Mitchell HumphreysMitchell Humphreys More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.2622AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The purpose of this study was to assess functional and QoL outcomes associated with various forms of benign prostatic hyperplasia (BPH) surgical treatment using an independent third party survey center. METHODS An independent third party survey center was employed to send a comprehensive questionnaire to all patients who underwent surgical intervention for BPH at our institution between Jan. 2007 to Jan. 2013. Patients were identified using Current Procedural Terminology codes and our institutional billing records. Overall satisfaction, urinary and sexual functional outcomes were evaluated as part of this survey. After IRB approval, the validated instruments were Sexual Health Inventory for Men (SHIM), the International Prostate Symptoms Score (IPSS) and the International Continence Society – Short Form questionnaires (ICSmaleSF). Overall SHIM, IPSS and ICS scores were analyzed as were the individual domains in each questionnaire, comparing them individually and as a function of specific procedure. RESULTS There were 906 patients who underwent BPH surgery at our institution during the study interval. Of the 862 alive patients, there were 479 respondents (55.6%). Among responders there were 214 Holmium Laser Enucleation of the Prostate (HoLEP), 210 Transurethral Resection of the Prostate (TURP), 21 Holmium Laser Ablation of the Prostate, 18 Photoselective Vaporization, 9 transurethral Incision of the Prostate and 7 simple prostatectomy. Preoperatively, patient reported continence rates as 55.3%, 58.2%, 71.4%, 57.1%, 66.7% and 80%, respectively (P= 0.651). Postoperatively, there were no significant differences in SHIM scores. However, total IPSS varied significantly among procedures (p<0.0001). Mean (±SD) IPSS was lowest for simple prostatectomy 4.0 (±2.6) followed by HoLEP 5.8 (±5.4). When Individual domains were analyzed, there were significant differences in intermittency (p=0.0004), weak stream (p=0.0029), straining (p< 0.0001) and quality of life QoL (p=0.001). In all domains HoLEP had the lowest scores. Regarding ICSmaleSF, there was a significant difference in favor of TURP in the incontinence domain(p<0.0001) and in favor of HoLEP in the voiding (p=0.0192) and QoL domains (p=0.0344).The majority of the patients were satisfied with their intervention, regret was least in HoLEP 64.1% (p=0.0175). CONCLUSIONS Patients were generally satisfactied. However, those who underwent a HoLEP tended to have the best functional outcomes and highest QoL scores. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e915 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Haidar Abdul-Muhsin More articles by this author Mark Tyson More articles by this author Paul Andrews More articles by this author Erik Castle More articles by this author Robert Ferrigni More articles by this author Wolter Christopher More articles by this author Swanson Scott More articles by this author Mitchell Humphreys More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...