Egelund Jorsal, J.(Jens) (2013) Transurethrale resectie van de prostaat versus Green Light Laser; kosten en complicaties. thesis, Medicine.
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Abstract
Study design: retrospective cohort study Background: TURP is the golden standard for invasive treatment of BPH. Many alternative treatments have been developed over the last decennia. One that has gained much popularity is photoselective vaporization of the prostate (PVP) with the GreenLightLaser (GLL). Early studies have shown a comparable effect on urodynamic outcomes and symptoms compared with TURP, while the length of stay is shorter. Higher costs of materials make the initial costs for GLL higher than for TURP. Aims: To analyse if GLL is less costly and safer than TURP. Methods: Patients who underwent TURP in 2009 (group A) or PVP between January 1st 2011 and June 30th 2012 (group B) were included. Only patient with BPH and outflow obstruction were included. Patients with prostate cancer and patients who underwent other surgery were excluded. Several variables were documented including surgery duration, length of stay and complications. Total costs were calculated for both groups and compared. The follow-up was 6 months. Results: 101 patient who underwent TURP and 93 who underwent GLL were included. Mean age was the same between group A (70,2 years) and group B (69,3 years). The mean length of stay was longer in the group which underwent TURP (74,5 vs 37,3 hours). We documented less complications in the GLL group, though the difference was not significant. The total cost ratio between TURP:GLL was 1.42. Conclusion: Despite the higher material costs GLL is less costly than TURP. The shorter length of stay and the low complication rate make it a safe and friendly alternative to TURP. More and better trials on the (cost) effectiveness on the long term are needed if GLL is to replace TURP as the golden standard in the treatment of BPH
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Facultair begeleider: and Steffens, dr. M.G. uroloog |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:06 |
| Last Modified: | 25 Jun 2020 11:06 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2588 |
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