Mp62-08 Salvage BPH Procedures Post-Minimally Invasive Treatment—outcomes and Safety

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology IV (MP62)1 May 2024MP62-08 SALVAGE BPH PROCEDURES POST-MINIMALLY INVASIVE TREATMENT—OUTCOMES AND SAFETY Laura Nicole Thompson, Andrew Gardeck, Annie Chen, and Ricardo R. Gonzalez Laura Nicole ThompsonLaura Nicole Thompson , Andrew GardeckAndrew Gardeck , Annie ChenAnnie Chen , and Ricardo R. GonzalezRicardo R. Gonzalez View All Author Informationhttps://doi.org/10.1097/01.JU.0001008904.63948.3b.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Benign prostatic hyperplasia (BPH) is a prevalent condition associated with troublesome lower urinary tract symptoms (LUTS) and reduced quality of life. Minimally invasive surgical treatments (MISTs), such as water vapor thermal therapy (WVTT), prostatic urethral lift procedure (PUL), and implantable temporary nitinol device (iTind) offer rapid recovery and minimal complications. However, MISTs exhibit higher retreatment rates than traditional BPH procedures prompting the need for salvage therapy. Studies on the efficacy of salvage treatments are scarce. This study seeks to assess the safety and efficacy of BPH procedures after failed MIST treatment. METHODS: We conducted a retrospective chart review of male patients who underwent BPH procedures at a single institution with a single surgeon. Inclusion criteria included patients aged ≥18 years who underwent surgical retreatment for LUTS following a prior MIST procedure between January 2021-January 2023. MIST failure was defined by persistent subjective symptoms, IPSS score >14, or chronic urinary retention. RESULTS: Out of 440 men who underwent BPH procedures during the study period, 69 required surgical salvage treatment due to persistent LUTS and obstructive symptoms with 31 cases being refractory to MIST. Patient characteristics and outcome data are presented in Table 1. Complications were observed in 3 out of 31 patients, including 2 cases of post-operative urinary tract infections, one of which resulted in persistent urinary retention necessitating clean intermittent catheterization. The majority of men experienced improvements in post-void residuals and IPSS scores following salvage BPH procedures, with an average IPSS score decrease of 13 points. All patients reported some degree of symptom improvement, but 3 patients required new overactive bladder medications due to worsening urgency and/or frequency. None of the patients required subsequent BPH procedures. CONCLUSIONS: Our study demonstrates that BPH surgeries after failed MIST procedures are feasible, safe, and effective. Our findings indicate that subsequent BPH procedures following MIST failure yield sustainable results, as none of our patients required additional procedures during short-term follow-up. Further studies or a prospective registry of patients with prior MIST procedures are warranted. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1023 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Laura Nicole Thompson More articles by this author Andrew Gardeck More articles by this author Annie Chen More articles by this author Ricardo R. Gonzalez More articles by this author Expand All Advertisement PDF downloadLoading ...