Open vs laparoscopic simple prostatectomy: A comparison of initial outcomes and cost

dc.contributor.authorDemir, Aslan
dc.contributor.buuauthorGünseren, Kadir Ömür
dc.contributor.buuauthorKordan, Yakup
dc.contributor.buuauthorYavaşcaoğlu, İsmet
dc.contributor.buuauthorVuruşkan, Berna Aytaç
dc.contributor.buuauthorVuruşkan, Hakan
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Üroloji Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Patoloji Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0001-8673-3093tr_TR
dc.contributor.researcheridABC-9924-2020tr_TR
dc.contributor.researcheridAAH-9746-2021tr_TR
dc.contributor.scopusid56664496600tr_TR
dc.contributor.scopusid9633365800tr_TR
dc.contributor.scopusid6603612497tr_TR
dc.contributor.scopusid56527372000tr_TR
dc.contributor.scopusid6507328150tr_TR
dc.date.accessioned2022-12-07T10:40:50Z
dc.date.available2022-12-07T10:40:50Z
dc.date.issued2016-08
dc.description.abstractIntroduction: We compared the cost-effectiveness of laparoscopic simple prostatectomy (LSP) vs open prostatectomy (OP). Patients and Methods: A total of 73 men treated for benign prostatic hyperplasia were enrolled for OP and LSP in groups 1 and 2, respectively. The findings were recorded perioperative, including operation time (OT), blood lost, transfusion rate, conversion to the open surgery, and the complications according to the Clavien Classification. The postoperative findings, including catheterization and drainage time, the amount of analgesic used, hospitalization time, postoperative complications, international prostate symptom score (IPSS) and International Index of Erectile Function (IIEF) scores, the extracted prostate weight, the uroflowmeter, as well as postvoiding residual (PVR) and quality of life (QoL) score at the postoperative third month, were analyzed. The cost of both techniques was also compared statistically. Results: No statistical differences were found in the preoperative parameters, including age, IPSS and QoL score, maximum flow rate (Q(max)), PVR, IIEF score, and prostate volumes, as measured by transabdominal ultrasonography. No statistical differences were established in terms of the OT and the weight of the extracted prostate. No differences were established with regard to complications according to Clavien's classification in groups. However, the bleeding rate was significantly lower in group 2. The drainage, catheterization, and hospitalization times and the amount of analgesics were significantly lower in the second group. The postoperative third month findings were not different statistically. Only the Q(max) values were significantly greater in group 2. While there was only a $52 difference between groups with regard to operation cost, this difference was significantly different. Conclusion: The use of LSP for the prostates over 80 g is more effective than the OP in terms of OT, bleeding amount, transfusion rates, catheterization time, drain removal time, hospitalization time, consumed analgesic amount, and Q(max) values. On the other hand, the mean cost of the LSP is higher than OP. Better effectiveness comes with higher cost.en_US
dc.identifier.citationDemir, A. vd. (2016). "Open vs laparoscopic simple prostatectomy: A comparison of initial outcomes and cost". Journal of Endourology, 30(8), 884-889.en_US
dc.identifier.endpage889tr_TR
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue8tr_TR
dc.identifier.pubmed27189387tr_TR
dc.identifier.scopus2-s2.0-84980002559tr_TR
dc.identifier.startpage884tr_TR
dc.identifier.urihttps://doi.org/10.1089/end.2016.0261
dc.identifier.urihttps://www.liebertpub.com/doi/10.1089/end.2016.0261
dc.identifier.urihttp://hdl.handle.net/11452/29728
dc.identifier.volume30tr_TR
dc.identifier.wos000380497000008tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherMary Ann Lieberten_US
dc.relation.collaborationYurt içitr_TR
dc.relation.journalJournal of Endourologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectUrology & nephrologyen_US
dc.subjectBenign prostatic hyperplasiaen_US
dc.subjectExtraperitonealen_US
dc.subjectAdenomectomyen_US
dc.subject.emtreeAnalgesic agenten_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeBleedingen_US
dc.subject.emtreeBlood transfusionen_US
dc.subject.emtreeCatheterizationen_US
dc.subject.emtreeClavien classificationen_US
dc.subject.emtreeControlled studyen_US
dc.subject.emtreeCost benefit analysisen_US
dc.subject.emtreeCost effectiveness analysisen_US
dc.subject.emtreeDisease classificationen_US
dc.subject.emtreeFlow rateen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeIntermethod comparisonen_US
dc.subject.emtreeInternational index of erectile functionen_US
dc.subject.emtreeInternational prostate symptom scoreen_US
dc.subject.emtreeLaparoscopic simple prostatectomyen_US
dc.subject.emtreeMajor clinical studyen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMiddle ageden_US
dc.subject.emtreeOpen prostatectomyen_US
dc.subject.emtreeOperation durationen_US
dc.subject.emtreeOutcome assessmenten_US
dc.subject.emtreePerioperative perioden_US
dc.subject.emtreePostoperative complicationen_US
dc.subject.emtreePriority journalen_US
dc.subject.emtreeProstate hypertrophyen_US
dc.subject.emtreeProstate volumeen_US
dc.subject.emtreeProstate weighten_US
dc.subject.emtreeProstatectomyen_US
dc.subject.emtreeQuality of lifeen_US
dc.subject.emtreeUrine flowmeteren_US
dc.subject.emtreeVery elderlyen_US
dc.subject.emtreeBladder catheterizationen_US
dc.subject.emtreeComparative studyen_US
dc.subject.emtreeConversion to open surgeryen_US
dc.subject.emtreeEconomicsen_US
dc.subject.emtreeErectile dysfunctionen_US
dc.subject.emtreeFollow upen_US
dc.subject.emtreeHealth care costen_US
dc.subject.emtreeLaparoscopyen_US
dc.subject.emtreeOperative blood lossen_US
dc.subject.emtreeOrgan sizeen_US
dc.subject.emtreePathologyen_US
dc.subject.emtreePostoperative complicationen_US
dc.subject.emtreeProceduresen_US
dc.subject.emtreeProstate hypertrophyen_US
dc.subject.emtreeProstatectomyen_US
dc.subject.emtreeRetrospective studyen_US
dc.subject.emtreeStatistics and numerical dataen_US
dc.subject.emtreeTime factoren_US
dc.subject.emtreeUrine retentionen_US
dc.subject.emtreeUtilizationen_US
dc.subject.meshAgeden_US
dc.subject.meshBlood loss, surgicalen_US
dc.subject.meshBlood transfusionen_US
dc.subject.meshConversion to open surgeryen_US
dc.subject.meshErectile dysfunctionen_US
dc.subject.meshFollow-up studiesen_US
dc.subject.meshHealth care costsen_US
dc.subject.meshHumansen_US
dc.subject.meshLaparoscopyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshOperative timeen_US
dc.subject.meshOrgan sizeen_US
dc.subject.meshPostoperative complicationsen_US
dc.subject.meshProstatectomyen_US
dc.subject.meshProstatic hyperplasiaen_US
dc.subject.meshQuality of lifeen_US
dc.subject.meshRetrospective studiesen_US
dc.subject.meshTime factorsen_US
dc.subject.meshUrinary catheterizationen_US
dc.subject.meshUrinary retentionen_US
dc.subject.scopusTransurethral Resection; Enucleation; Thuliumen_US
dc.subject.wosUrology & nephrologyen_US
dc.titleOpen vs laparoscopic simple prostatectomy: A comparison of initial outcomes and costen_US
dc.typeArticle
dc.wos.quartileQ2en_US

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