Contemporary Trends of BPH Procedures in the AQUA Registry: Are We Moving the Needle Towards More Minimally Invasive Treatments?

No AccessUrology PracticeClinical Research21 Aug 2024Contemporary Trends of BPH Procedures in the AQUA Registry: Are We Moving the Needle Towards More Minimally Invasive Treatments? Hiren V. Patel, Benjamin N. Breyer, Charles Jones, Rachel Mbassa, William Meeks, Alexis Helsel, andPhD, MPH Matthew R. Cooperberg Hiren V. PatelHiren V. Patel Corresponding Author: Hiren V. Patel, MD, PhD, Department of Urology, Zuckerberg San Francisco General Hospital & Trauma Center, University of California San Francisco, 1001 Potrero Ave, Suite #3A26, San Francisco, CA 94110 ( ([email protected]) ). https://orcid.org/0000-0002-6475-670X , Benjamin N. BreyerBenjamin N. Breyer https://orcid.org/0000-0002-0532-048X Department of Urology, University of California San Francisco, San Francisco, California Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California , Charles JonesCharles Jones Department of Urology, University of California San Francisco, San Francisco, California , Rachel MbassaRachel Mbassa American Urological Association, Linthicum, Maryland , William MeeksWilliam Meeks American Urological Association, Linthicum, Maryland , Alexis HelselAlexis Helsel American Urological Association, Linthicum, Maryland , and Matthew R. CooperbergMatthew R. Cooperberg https://orcid.org/0000-0003-4339-6685 Department of Urology, University of California San Francisco, San Francisco, California Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California View All Author Informationhttps://doi.org/10.1097/UPJ.0000000000000691AboutPDF Cite Export CitationSelect Citation formatNLMAMAIEEEACMAPAChicagoMLAHarvardTips on citation downloadDownload citationCopy citation ToolsAdd to favoritesTrack Citations ShareFacebookLinked InTwitterEmail Abstract Purpose: We sought to determine the utilization of various BPH procedures among patients diagnosed with BPH in the United States to better understand the dispersion of the various BPH technologies. Materials and Methods: The American Urological Association Quality (AQUA) registry was used to identified patients with a diagnosis of BPH from January 2014 to December 2021. Patient characteristics and procedure characteristics were abstracted. Trends were analyzed using Mann-Kendall tests and 2-way ANOVA test was used to compare treatment utilization. Results: Of 2,202,107 men diagnosed with BPH in our cohort, 53% (1,173,366) were managed with at least one BPH medication, and 7.8% (172,681) received a BPH treatment. Compared to 2014, prostatic urethral lift (n = 178), water vapor thermal therapy (n = 1116), and other genitourinary procedures (n = 254) increased by 3730%, 123%, and 853%, respectively. Regional and racial variations existed based on treatment type. There was significant regional variation in time to intervention based on the state and age of the patient. Conclusions: The management of BPH has undergone temporal changes throughout the study period. The treatment modalities for BPH vary by region and race in a real-world context. © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Supplementary Materials Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.KeywordsBPHtreatment trendsPULWVTTMetrics Author Information Hiren V. Patel Corresponding Author: Hiren V. Patel, MD, PhD, Department of Urology, Zuckerberg San Francisco General Hospital & Trauma Center, University of California San Francisco, 1001 Potrero Ave, Suite #3A26, San Francisco, CA 94110 ( ([email protected]) ). More articles by this author Benjamin N. Breyer Department of Urology, University of California San Francisco, San Francisco, California Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California More articles by this author Charles Jones Department of Urology, University of California San Francisco, San Francisco, California More articles by this author Rachel Mbassa American Urological Association, Linthicum, Maryland More articles by this author William Meeks American Urological Association, Linthicum, Maryland More articles by this author Alexis Helsel American Urological Association, Linthicum, Maryland More articles by this author Matthew R. Cooperberg Department of Urology, University of California San Francisco, San Francisco, California Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California More articles by this author Expand All Advertisement PDF downloadLoading ...