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Efficacy and safety of holmium laser enucleation of the prostate for elderly patients: surgical outcomes and King’s Health Questionnaire

BACKGROUND: Holmium laser enucleation of the prostate (HoLEP) has been a widely utilized minimally invasive surgical procedure for benign prostate hyperplasia. The current study aimed to compare surgical outcomes and King’s Health Questionnaire (KHQ) assessment scores following HoLEP between younger...

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Autores principales: Anan, Go, Iwamura, Hiromichi, Mikami, Jotaro, Kohada, Yuki, Ito, Jun, Kaiho, Yasuhiro, Sato, Makoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947440/
https://www.ncbi.nlm.nih.gov/pubmed/33718079
http://dx.doi.org/10.21037/tau-20-1309
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author Anan, Go
Iwamura, Hiromichi
Mikami, Jotaro
Kohada, Yuki
Ito, Jun
Kaiho, Yasuhiro
Sato, Makoto
author_facet Anan, Go
Iwamura, Hiromichi
Mikami, Jotaro
Kohada, Yuki
Ito, Jun
Kaiho, Yasuhiro
Sato, Makoto
author_sort Anan, Go
collection PubMed
description BACKGROUND: Holmium laser enucleation of the prostate (HoLEP) has been a widely utilized minimally invasive surgical procedure for benign prostate hyperplasia. The current study aimed to compare surgical outcomes and King’s Health Questionnaire (KHQ) assessment scores following HoLEP between younger men and those aged ≥75 years. METHODS: This prospective single-center study compared perioperative complications, postoperative urinary conditions, and KHQ scores (nine categories) between men aged ≥75 years (group A) and men aged <75 years (group B) before and 1, 3, and 6 months after surgery. RESULTS: A total of 100 patients were included for analysis (group A, n=38 and group B, n=62). No differences in patient backgrounds, perioperative complications, such as perioperative decrease in hemoglobin, postoperative fever, postoperative indwelling catheterization duration, or postoperative hospitalization duration, and KHQ were observed between both groups. Both groups showed significantly better International Prostate Symptom Scores, quality of life, maximum urinary flow rate, and postvoid residual volume 1, 3, and 6 months after HoLEP compared to their respective preoperative levels (P<0.01). Regarding KHQ categories, both groups showed significantly better general health perceptions, impact on life, emotions, and sleep/energy 1 month after HoLEP; role limitations, physical limitations, and social limitations 3 months after HoLEP; and personal relationships and incontinence severity measures 6 months after HoLEP compared to their respective preoperative levels (P<0.05). CONCLUSIONS: HoLEP could be safe and effective even for men aged ≥75 years, comparing complications, urinary condition, and KHQ scores.
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spelling pubmed-79474402021-03-12 Efficacy and safety of holmium laser enucleation of the prostate for elderly patients: surgical outcomes and King’s Health Questionnaire Anan, Go Iwamura, Hiromichi Mikami, Jotaro Kohada, Yuki Ito, Jun Kaiho, Yasuhiro Sato, Makoto Transl Androl Urol Original Article BACKGROUND: Holmium laser enucleation of the prostate (HoLEP) has been a widely utilized minimally invasive surgical procedure for benign prostate hyperplasia. The current study aimed to compare surgical outcomes and King’s Health Questionnaire (KHQ) assessment scores following HoLEP between younger men and those aged ≥75 years. METHODS: This prospective single-center study compared perioperative complications, postoperative urinary conditions, and KHQ scores (nine categories) between men aged ≥75 years (group A) and men aged <75 years (group B) before and 1, 3, and 6 months after surgery. RESULTS: A total of 100 patients were included for analysis (group A, n=38 and group B, n=62). No differences in patient backgrounds, perioperative complications, such as perioperative decrease in hemoglobin, postoperative fever, postoperative indwelling catheterization duration, or postoperative hospitalization duration, and KHQ were observed between both groups. Both groups showed significantly better International Prostate Symptom Scores, quality of life, maximum urinary flow rate, and postvoid residual volume 1, 3, and 6 months after HoLEP compared to their respective preoperative levels (P<0.01). Regarding KHQ categories, both groups showed significantly better general health perceptions, impact on life, emotions, and sleep/energy 1 month after HoLEP; role limitations, physical limitations, and social limitations 3 months after HoLEP; and personal relationships and incontinence severity measures 6 months after HoLEP compared to their respective preoperative levels (P<0.05). CONCLUSIONS: HoLEP could be safe and effective even for men aged ≥75 years, comparing complications, urinary condition, and KHQ scores. AME Publishing Company 2021-02 /pmc/articles/PMC7947440/ /pubmed/33718079 http://dx.doi.org/10.21037/tau-20-1309 Text en 2021 Translational Andrology and Urology. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Anan, Go
Iwamura, Hiromichi
Mikami, Jotaro
Kohada, Yuki
Ito, Jun
Kaiho, Yasuhiro
Sato, Makoto
Efficacy and safety of holmium laser enucleation of the prostate for elderly patients: surgical outcomes and King’s Health Questionnaire
title Efficacy and safety of holmium laser enucleation of the prostate for elderly patients: surgical outcomes and King’s Health Questionnaire
title_full Efficacy and safety of holmium laser enucleation of the prostate for elderly patients: surgical outcomes and King’s Health Questionnaire
title_fullStr Efficacy and safety of holmium laser enucleation of the prostate for elderly patients: surgical outcomes and King’s Health Questionnaire
title_full_unstemmed Efficacy and safety of holmium laser enucleation of the prostate for elderly patients: surgical outcomes and King’s Health Questionnaire
title_short Efficacy and safety of holmium laser enucleation of the prostate for elderly patients: surgical outcomes and King’s Health Questionnaire
title_sort efficacy and safety of holmium laser enucleation of the prostate for elderly patients: surgical outcomes and king’s health questionnaire
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947440/
https://www.ncbi.nlm.nih.gov/pubmed/33718079
http://dx.doi.org/10.21037/tau-20-1309
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