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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transurethral incision of the prostate (TUIP) | Patients who underwent TUIP using electrocautery or Laser. |
| |
| Transurethral resection of the prostate (TURP) | Patients who underwent TURP using monopolar or bipolar electrocautery. |
| |
| Prostate Vaporization | Patient who underwent vaporization of the prostate using plasma or laser energy (GreenLight PVP and Thulium vaporization of the prostate). |
| |
| Anatomical endoscopic enucleation of the prostate (AEEP) | Patient who underwent anatomical endoscopic enucleation of the prostate (AEEP) using Holmium, Thulium or GreenLight laser or bipolar current. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TUIP | Procedure | Patient who underwent transurethral incision of the prostate (TUIP) using electrical current or laser beam. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The need for post discharge hospital readmission. | The need for post discharge hospital readmission after surgery. | 90 days |
| 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. |
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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:
Males
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They will be the subdivided into four groups:
Group I: Patient who underwent transurethral incision of the prostate (TUIP) using electrical current or laser beam. Group II: Patient who underwent transurethral resection of the prostate (TURP) using momopolar or bipolar current. Group III: Patient who underwent vaporization of the prostate using plasma or laser energy (GreenLight PVP and Thulium vaporization of the prostate). Group IV: Patient who underwent anatomical endoscopic enucleation of the prostate (AEEP) using Holmium, Thulium or GreenLight laser or bipolar current.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmed R EL-Nahas, MD | Contact | +201221136899 | ar_el_nahas@yahoo.com | |
| Amr W Yehia, MD | Contact | +201027383536 | amrwaei33@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Ahmed R EL-Nahas, MD | Urology and Nephrology Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Urology and Nephrology Center | Recruiting | Al Mansurah | 35516 | Egypt |
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| ID | Term |
|---|---|
| D020728 | Transurethral Resection of Prostate |
| ID | Term |
|---|---|
| D011468 | Prostatectomy |
| D013521 | Urologic Surgical Procedures, Male |
| D013520 | Urologic Surgical Procedures |
| D013519 | Urogenital Surgical Procedures |
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| TURP | Procedure | Patient who underwent transurethral resection of the prostate (TURP) using momopolar or bipolar current. |
|
| Prostate Vaporization | Procedure | Patient who underwent vaporization of the prostate using plasma or laser energy (GreenLight PVP and Thulium vaporization of the prostate). |
|
| AEEP | Procedure | Patient who underwent anatomical endoscopic enucleation of the prostate (AEEP) using Holmium, Thulium or GreenLight laser or bipolar current. |
|
| 20 years |
| Causes and predictors of readmission. | Causes and predictors of readmission. | 90 days |
| D013514 | Surgical Procedures, Operative |