TY - JOUR
T1 - Holmium laser enucleation versus open prostatectomy for benign prostatic hyperplasia
T2 - An inpatient cost analysis
AU - Salonia, Andrea
AU - Suardi, Nazareno
AU - Naspro, Richard
AU - Mazzoccoli, Bruno
AU - Zanni, Giuseppe
AU - Gallina, Andrea
AU - Bua, Lina
AU - Scattoni, Vincenzo
AU - Rigatti, Patrizio
AU - Montorsi, Francesco
PY - 2006/8
Y1 - 2006/8
N2 - Objectives: To compare the cost of open transvesical prostatectomy (OP) with that of holmium laser enucleation (HoLEP) in the treatment of bladder outlet obstruction (BOO) attributed to benign prostatic hyperplasia. Methods: From February to May 2004, 63 consecutive patients with symptomatic benign prostatic hyperplasia in a large prostate (70 to 220 g) and documented BOO were randomized to surgical treatment with OP (29 in group 1) or HoLEP (34 in group 2). All costs associated with the procedures during the hospital stay were recorded prospectively, and a cost-effectiveness analysis of the critical perioperative (ie, intraoperative and postoperative to hospital discharge) data was performed. Results: The cost analysis showed a mean perioperative cost of €2868.9 ($3556.3) for group 1 and €2356.5 ($2919.4) for group 2. A direct comparison analysis showed that the most significant cost factors were the operative time (average 16.1% and 25.1% to the cost of OP and HoLEP, respectively), operating room surgical setup/disposables, including laser fiber and resectoscope loop in group 2 (average 13.3% and 29.3% to the cost of OP and HoLEP, respectively), and length of postoperative hospital stay (average 53.3% and 32.0% to the cost of OP and HoLEP, respectively). Overall, the hospitalization cost of HoLEP was 9.6% less than that for OP. Conclusions: Our data have demonstrated that HoLEP is associated with a significant hospital net cost savings compared with OP in patients undergoing surgery for symptomatic benign prostatic hyperplasia in large glands.
AB - Objectives: To compare the cost of open transvesical prostatectomy (OP) with that of holmium laser enucleation (HoLEP) in the treatment of bladder outlet obstruction (BOO) attributed to benign prostatic hyperplasia. Methods: From February to May 2004, 63 consecutive patients with symptomatic benign prostatic hyperplasia in a large prostate (70 to 220 g) and documented BOO were randomized to surgical treatment with OP (29 in group 1) or HoLEP (34 in group 2). All costs associated with the procedures during the hospital stay were recorded prospectively, and a cost-effectiveness analysis of the critical perioperative (ie, intraoperative and postoperative to hospital discharge) data was performed. Results: The cost analysis showed a mean perioperative cost of €2868.9 ($3556.3) for group 1 and €2356.5 ($2919.4) for group 2. A direct comparison analysis showed that the most significant cost factors were the operative time (average 16.1% and 25.1% to the cost of OP and HoLEP, respectively), operating room surgical setup/disposables, including laser fiber and resectoscope loop in group 2 (average 13.3% and 29.3% to the cost of OP and HoLEP, respectively), and length of postoperative hospital stay (average 53.3% and 32.0% to the cost of OP and HoLEP, respectively). Overall, the hospitalization cost of HoLEP was 9.6% less than that for OP. Conclusions: Our data have demonstrated that HoLEP is associated with a significant hospital net cost savings compared with OP in patients undergoing surgery for symptomatic benign prostatic hyperplasia in large glands.
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U2 - 10.1016/j.urology.2006.02.007
DO - 10.1016/j.urology.2006.02.007
M3 - Article
C2 - 16904441
AN - SCOPUS:33746783408
VL - 68
SP - 302
EP - 306
JO - Urology
JF - Urology
SN - 0090-4295
IS - 2
ER -