Readmission Following Prostatic Surgery

Study Overview
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Brief Summary
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This study will be conducted to estimate readmission rate and reasons for readmission after all modalities of endoscopic transurethral surgeries for treatment of BOO secondary to BPH in the last 20 years.

Detailed Description
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Computerized patient information system (PIS) of Urology and Nephrology Center (UNC) and database of prostate unit of UNC will be reviewed for all preoperative, intraoperative and post discharge data. All follow up visits will be traced for outcome measurement. Patients with no hospital follow up visit will be contacted by phone and interrogated about their LUTS control state, ongoing medication and history of secondary procedures.

Official Title
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Readmission Following Endourological Prostatic Surgery for Benign Prostatic Obstruction: Review of 20 Years of Experience

Conditions
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BPH With Urinary Obstruction

Intervention / Treatment
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* Procedure: TUIP
* Procedure: TURP
* Procedure: Prostate Vaporization
* Procedure: AEEP


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Men who underwent transurethral prostatic surgery for BPH causing BOO at Urology and Nephrology Center, Mansoura University, Egypt from Jun. 2005 to Dec. 2024. Exclusion Criteria: Patients who underwent TUR tunnelling for prostatic adenocarcinoma. LUTS secondary to neuropathic bladder. Incidentally diagnosed prostate cancer after surgery

Ages Eligible for Study
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Minimum Age: 40 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Transurethral incision of the prostate (TUIP)<br>Patients who underwent TUIP using electrocautery or Laser. | Procedure: TUIP<br>* Patient who underwent transurethral incision of the prostate (TUIP) using electrical current or laser beam.<br>|
| Transurethral resection of the prostate (TURP)<br>Patients who underwent TURP using monopolar or bipolar electrocautery. | Procedure: TURP<br>* Patient who underwent transurethral resection of the prostate (TURP) using momopolar or bipolar current.<br>|
| Prostate Vaporization<br>Patient who underwent vaporization of the prostate using plasma or laser energy (GreenLight PVP and Thulium vaporization of the prostate). | Procedure: Prostate Vaporization<br>* Patient who underwent vaporization of the prostate using plasma or laser energy (GreenLight PVP and Thulium vaporization of the prostate).<br>|
| Anatomical endoscopic enucleation of the prostate (AEEP)<br>Patient who underwent anatomical endoscopic enucleation of the prostate (AEEP) using Holmium, Thulium or GreenLight laser or bipolar current. | Procedure: AEEP<br>* Patient who underwent anatomical endoscopic enucleation of the prostate (AEEP) using Holmium, Thulium or GreenLight laser or bipolar current.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The need for post discharge hospital readmission. | The need for post discharge hospital readmission after surgery. | 90 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Differences of readmission rates | Difference of readmission rates for different modalities of transuretheral prostatic surgery. | 90 days | 
| Change in the causes of readmission over time. | Change in the causes of readmission over time. | 20 years | 
| Causes and predictors of readmission. | Causes and predictors of readmission. | 90 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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BPH, TURP, Laser prostatectomy, BNC, Holmium Laser