Geriatric Assessment Can Predict Outcomes of Endoscopic Surgery for Benign Prostatic Hyperplasia in Elderly Patients

Pichon, Thomas; Lebdai, Souhil; Launay, Cyrille P.; Collet, Nadine; Chautard, Denis; Cerruti, A.; Hoarau, N.; Brassart, É.; Bigot, Pierre; Beauchet, Olivier; Azzouzi, Abdel-Rahmène; Culty, T.

doi:10.1089/end.2017.0325

Cited by 11 publications

(1 citation statement)

References 18 publications

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“…Recent studies on desobstructive surgery in elderly patients suggest that (i) the outcome is strongly influenced by “geriatric factors” and (ii) that a preoperative geriatric assessment might help in the decision-making process [ 1 , 19 ]. Knoblauch et al have shown that predictors for the outcome of elderly patients following laser ablation are “geriatric factors” such as frailty, co-morbidities and co-medication rather than the conventional urological parameters [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Transurethral resection of the prostate in 85+ patients: a retrospective, multicentre study

Lotterstätter¹,

Seklehner

Wimpissinger

et al. 2022

World J Urol

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Purpose To determine the safety and efficacy of transurethral resection of the prostate (TUR-P) in patients 85 years or older. Methods In this retrospective, multicentre study, patients equal or older than 85 years at the time of surgery (2015–2020) were included. Several pre-, peri- and postoperative parameters were collected. The main outcome criterion was spontaneous voiding with a post-void residual (PVR) volume < 100 ml at dismission and at 12 months after surgery. Results One hundred sixty-eight patients (median age: 87 years, interquartile range [IQR]: 86–89) were recruited. The patients took on average 5.2 permanent medications (3–8), 107 (64%) were anticoagulated preoperatively and neurological co-morbidities were present in 29 (17%). The indication for surgery was recurrent urinary retention in 66.3% (n = 110) with a mean retention volume of 849 ml. The mean PVR volume of the remaining 35% was 146 ml. Surgery was successfully completed in all patients. A perioperative surgical revision had to be performed in 3% and 13 patients (7.7%) required blood transfusion. After catheter removal, 85% of patients were able to void spontaneously with a PVR < 100 ml, and 14.3% were dismissed with a catheter. Twelve months data were available for 93 patients (55%). Of this cohort, 78 (83.9%) were able to void spontaneously with a PVR < 100 ml, 12 (12.9%) were on permanent catheterization. One patient (0.6%) died perioperatively. The only significant factor associated with an unsuccessful outcome was the number of permanent medications (6.8 vs. 5.0, p = 0.005). Conclusion This retrospective multicentre study documents the safety and efficacy of TURP (monopolar and bipolar) in the old-old cohort.

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Section: Discussionmentioning

confidence: 99%