Bibliographic Details
| Title: |
Prostatic urethral lift (UroLift): a real-world analysis of outcomes using hospital episodes statistics |
| Authors: |
Toby Page, Rajan Veeratterapillay, Kim Keltie, Julie Burn, Andrew Sims |
| Source: |
BMC Urology, Vol 21, Iss 1, Pp 1-7 (2021) |
| Publisher Information: |
BMC, 2021. |
| Publication Year: |
2021 |
| Collection: |
LCC:Diseases of the genitourinary system. Urology |
| Subject Terms: |
Prostatic urethral lift, BPH, LUTS, Urinary retention, UroLift, Diseases of the genitourinary system. Urology, RC870-923 |
| More Details: |
Abstract Background To determine real-world outcomes of prostatic urethral lift (UroLift) procedures conducted in hospitals across England. Methods A retrospective observational cohort was identified from Hospital Episode Statistics data including men undergoing UroLift in hospitals in England between 2017 and 2020. Procedure uptake, patient demographics, inpatient complications, 30-day accident and emergency re-attendance rate, requirement for further treatment and catheterization were captured. Kaplan–Meier and hazard analysis were used to analyse time to re-treatment. Results 2942 index UroLift procedures from 80 hospital trusts were analysed; 85.3% conducted as day-case surgery (admitted to hospital for a planned surgical procedure and returning home on the same day). In-hospital complication rate was 3.4%. 93% of men were catheter-free at 30 days. The acute accident and emergency attendance rate within 30 days was 12.0%. Results of Kaplan Meier analysis for subsequent re-treatment (including additional UroLift and endoscopic intervention) at 1 and 2 years were 5.2% [95% CI 4.2 to 6.1] and 11.9% [10.1 to 13.6] respectively. Conclusions This real-world analysis of UroLift shows that it can be delivered safely in a day-case setting with minimal morbidity. However, hospital resource usage for catheterization and emergency hospital attendance in the first 30 days was substantial, and 12% required re-treatment at 2 years. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1471-2490 |
| Relation: |
https://doaj.org/toc/1471-2490 |
| DOI: |
10.1186/s12894-021-00824-5 |
| Access URL: |
https://doaj.org/article/369361314daa41e7841da4d467e3c567 |
| Accession Number: |
edsdoj.369361314daa41e7841da4d467e3c567 |
| Database: |
Directory of Open Access Journals |
