PD56-05 THREE-YEAR OUTCOMES AFTER AQUABLATION COMPARED TO TURP: EFFICACY AND EJACULATORY IMPROVEMENTS SUSTAINED

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology III (PD56)1 Apr 2020PD56-05 THREE-YEAR OUTCOMES AFTER AQUABLATION COMPARED TO TURP: EFFICACY AND EJACULATORY IMPROVEMENTS SUSTAINED Peter Gilling*, Neil Barber, Mo Bidair, Paul Anderson, Mark Sutton, Tev Aho, Eugene Kramolowsky, Andrew Thomas, Barrett Cowan, Ronald Kaufman, Andrew Trainer, Andrew Arther, Gopal Badlani, Mark Plante, Mihir Desai, Leo Doumanian, Alexis Te, Mark DeGuenther, and Claus Roehrborn Peter Gilling*Peter Gilling* More articles by this author , Neil BarberNeil Barber More articles by this author , Mo BidairMo Bidair More articles by this author , Paul AndersonPaul Anderson More articles by this author , Mark SuttonMark Sutton More articles by this author , Tev AhoTev Aho More articles by this author , Eugene KramolowskyEugene Kramolowsky More articles by this author , Andrew ThomasAndrew Thomas More articles by this author , Barrett CowanBarrett Cowan More articles by this author , Ronald KaufmanRonald Kaufman More articles by this author , Andrew TrainerAndrew Trainer More articles by this author , Andrew ArtherAndrew Arther More articles by this author , Gopal BadlaniGopal Badlani More articles by this author , Mark PlanteMark Plante More articles by this author , Mihir DesaiMihir Desai More articles by this author , Leo DoumanianLeo Doumanian More articles by this author , Alexis TeAlexis Te More articles by this author , Mark DeGuentherMark DeGuenther More articles by this author , and Claus RoehrbornClaus Roehrborn More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000966.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To compare three-year (last follow-up of the protocol) safety and efficacy outcomes after Aquablation or transurethral resection of the prostate (TURP) for the treatment of lower urinary tract symptoms (LUTS) related to benign prostate hyperplasia (BPH). METHODS: 181 patients with BPH were assigned at random (2:1 ratio) to either Aquablation or TURP. Patients and follow-up assessors at each site were blinded to treatment. Assessments included International Prostate Symptom Score (IPSS), Male Sexual Health Questionnaire (MSHQ), International Index of Erectile Function (IIEF) and uroflow. RESULTS: At three years, IPSS scores improved by 14.2 points in the Aquablation group and 15 points in TURP (p=.7050, 95% CI for difference –3.6 to 5.3 points). Three-year improvements in maximum flow rate (Qmax) were large in both groups at 10 and 9.7 cc/sec for Aquablation and TURP, respectively (p=.9078, 95% CI for difference –2.9 to 6.4). Sexual function as assessed by MSHQ-EjD was stable in the Aquablation group and decreased slightly in the TURP group; these changes persisted at year 3. At three years, PSA was reduced significantly in both groups but showed no difference between groups (p=.4074 for difference). The average annual retreatment occurrence was less than 2% in both treatment groups. CONCLUSIONS: Three-year efficacy outcomes after TURP and Aquablation were similar and the rate of surgical retreatment was low and similar to TURP. Efficacy results have maintained their improvement since the 90 day follow-up for both groups that are consistent with all other resective surgical techniques. Source of Funding: PROCEPT BioRobotics © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1189-e1189 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Peter Gilling* More articles by this author Neil Barber More articles by this author Mo Bidair More articles by this author Paul Anderson More articles by this author Mark Sutton More articles by this author Tev Aho More articles by this author Eugene Kramolowsky More articles by this author Andrew Thomas More articles by this author Barrett Cowan More articles by this author Ronald Kaufman More articles by this author Andrew Trainer More articles by this author Andrew Arther More articles by this author Gopal Badlani More articles by this author Mark Plante More articles by this author Mihir Desai More articles by this author Leo Doumanian More articles by this author Alexis Te More articles by this author Mark DeGuenther More articles by this author Claus Roehrborn More articles by this author Expand All Advertisement PDF downloadLoading ...