Mp11-07 Soft Tissue Infections After Holep: An Under-Described Complication

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Prostate EO was defined as patient-reported pain and exam or ultrasound consistent with EO. RESULTS: Of 300 HoLEP patients 26 (8.7%) experienced an infectious complication within 90 days of surgery. Infectious complications included UTI (n=16, 61.5%) and EO (n=10, 38.5%). All EO with positive culture were gram negative bacteria (n=9), while UTI were mixed (Table 1).Preoperative characteristics were similar in patients with and without infectious complications. Longer post-HoLEP catheter duration (4.2 vs 2.7 days, p=0.01) was associated with infectious complications overall but not specifically with EO. UTI vs EO was not associated with preoperative bacteriuria, history of recurrent UTI, or post-operative severity of illness (e.g. need for admission (n=6) or treatment as outpatient (n=20)). CONCLUSIONS: We identified a 3% rate of soft tissue infections after HoLEP in the context of an 8.7% overall rate of infectious complications. Patients with longer post-operative catheter duration were at higher risk of overall infectious complications but not specifically for EO. These data suggest that HoLEP patients may be at increased risk of soft tissue infections compared to other BPH surgical modalities and support early catheter removal when feasible. Source of Funding: NA © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e152 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Emily C. Serrell More articles by this author Madison T. Taychert More articles by this author Ethan Richmond More articles by this author Robert Tyllo More articles by this author Ali Antar More articles by this author Margaret Knoedler More articles by this author Christopher Manakas More articles by this author Daniel Gralnek More articles by this author Matthew D. Grimes More articles by this author Expand All Advertisement PDF downloadLoading ...