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    Study: Monopolar TURP utilization on the decline

    PVP associated with longer OR time but shorter length of stay than TURP

     

    Monopolar TURP use decreasing

    Dr. Meyer observed that while monopolar TURP continues to be the standard of care for the treatment of BPH, he and colleagues observed a decreasing trend for the use of monopolar TURP, from 100% in 2003 to 78% in 2013. Further, the data showed an increasing trend for the use of procedures other than TURP to almost 11% in 2013.

    When comparing bipolar and monopolar TURP, there was almost no difference in terms of operating room time, Dr. Meyer said. There was no difference in length of stay or 90-day complication rates, with borderline significance for urinary urgency favoring bipolar TURP. When compared with monopolar TURP, GreenLight Laser PVP procedures typically lasted 12 minutes longer than the full cohort, which is significant, he added. Still, the length of stay for the GreenLight Laser PVP patients was significantly shorter.

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    Because of the aging U.S. population and its high comorbidity profile, Dr. Meyer said focusing on procedures performed in an inpatient setting was appropriate, since these procedures will likely be performed in inpatient settings in the future.

    He reported that the use of monopolar TURP has decreased significantly since the start of the study in 2003, but it’s still the standard of care for better surgical outcomes in the inpatient setting.

    GreenLight Laser PVP was also associated with fewer cases of dilutional hyponatremia and prostatic complications such as structural fistula infarction and prostatic adhesions, added Dr. Meyer.

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    Aine Cryts
    Aine Cryts is a freelancer based in Boston. She is a frequent contributor to Managed Healthcare Executive on topics such as diabetes, ...

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