Mp62-12 Waiting for Holep—outcomes When Complications Arise in the Preoperative Period

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology IV (MP62)1 May 2024MP62-12 WAITING FOR HOLEP—OUTCOMES WHEN COMPLICATIONS ARISE IN THE PREOPERATIVE PERIOD Perry Xu, Meera Ganesh, Nabila R. Khondakar, Kyle Tsai, Nick Dean, and Amy Krambeck Perry XuPerry Xu , Meera GaneshMeera Ganesh , Nabila R. KhondakarNabila R. Khondakar , Kyle TsaiKyle Tsai , Nick DeanNick Dean , and Amy KrambeckAmy Krambeck View All Author Informationhttps://doi.org/10.1097/01.JU.0001008904.63948.3b.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Debulking procedures for benign prostatic hyperplasia, including holmium laser enucleation of the prostate (HoLEP), are often considered to be elective. Wait times for HoLEP can vary on many factors, but the incidence and impact of complications in this preoperative period are unknown. We sought to uncover the outcomes of HoLEP in patients who experienced a complication while waiting for surgery. METHODS: We performed a retrospective review of patients who underwent HoLEP at a high-volume center between January 2021 and August 2023. Date of surgical case request placement, date of complication occurrence, and date of HoLEP were recorded. Preoperative, intraoperative, and postoperative characteristics were collected and analyzed. Statistical analysis was performed with SPSS software with p<0.05 denoting significance. RESULTS: We identified 918 patients who underwent HoLEP in this timeframe, with 74 experiencing a complication while waiting for HoLEP. 8 of these complications were cardiologic in nature, and 37 were urologic. Average waiting time for HoLEP for those without a complication was 57.8 days versus 89 days for those who experienced a complication (p<0.0001). Patients with a cardiologic complication waited 113.5 days (p=0.013). Patients who had a complication while waiting were more likely to be on BPH medications, be catheter dependent, and have UTI's within 6 months of surgery. Those who experienced a complication were more likely to have a longer postop stay with a foley catheter, have a postop complication and ER visit, and have long-term catheter dependence (Table 1). CONCLUSIONS: Patients with history of UTI and catheter dependence are more likely to experience a complication while waiting for HoLEP. Having a complication can significantly delay surgery date by up to 30 days, and patients experiencing complication preoperatively are more likely to experience further complications postoperatively. Efforts are needed to expedite and improve access to HoLEP. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1025 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Perry Xu More articles by this author Meera Ganesh More articles by this author Nabila R. Khondakar More articles by this author Kyle Tsai More articles by this author Nick Dean More articles by this author Amy Krambeck More articles by this author Expand All Advertisement PDF downloadLoading ...