COMPLICATIONS RATE ON 337 PATIENTS UNDERGOING THULIUM LASER
ENUCLEATION (THULEP) FOR BPH: THE KEY ROLE OF MORCELLATION
PROCESS
G. Bozzini, A. Macchi, S. Picozzi, C. Marenghi, S. Maruccia, B. Osmolovskiy, A. Kamalov, L.
Carmignani (Milano)
Scopo del lavoro
To assess the perioperative and postoperative complication rate of ThuLEP with regards to
morcellation process after the laser procedure. To assess whether this complications have any
effect on hospitalization length.
Materiali e metodi
A cooperation between the University of Milan and Moscow was settled. Prospective study that
analyzes complication rate due to the morcellation process after completing thullium laser
procedure in a group of 337 consecutive patients that underwent ThuLEP was performed.
Complication related to the morcellation procedure were recorded. Patients’ hospitalization
length were evaluated after discharge only considering patients that were not re-admitted because
of a surgical related issue. Statistical analysis was performed by the Student t and chi-square Test
and logistic regression analysis. For all statistical comparisons significance was considered at
p<0.05.
Risultati
Mean age was 67.8 years. Five complications were recorded. Bladder suction with wall damage,
Bleeding due to “ex vacuo” fast empting, suction problem, morcellation impairment and
prolonged morcellation time. The table show the complications rate and their correlation with a
prolonged hospital stay. A statistical significance between the complication and the prolonged
hospital stay found only for Bladder suction.
Discussione
Complications related to the morcellation procedure after Laser enucleation (ThuLEP) causes
prolonged hospitalization length only in the case of bladder suction. Other complications, even if
are related to a slower operative time, do not mean a prolonged Hospitalization.
Conclusioni
Complications related to the morcellation process during ThuLEP cause prolonged
hospitalization length only in the case of bladder damage.