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- W3189770287 abstract "You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology III (PD18)1 Sep 2021PD18-07 PERIOPERATIVE BLEEDING RISKS OF AQUABLATION WITH SUBSEQUENT SELECTIVE BIPOLAR CAUTERISATION VERSUS HOLMIUM LASER ENUCLEATION OF THE PROSTATE (HOLEP) Simon Gloger and Burkhard Ubrig Simon GlogerSimon Gloger More articles by this author and Burkhard UbrigBurkhard Ubrig More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002007.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Being a novel athermal method for subvesical desobstruction of the prostate, it has been under discussion if Aquablation on its own ensures adequate perioperative haemostasis in the resection bed. The objective of this study was to compare the surgical methods of Aquablation (A) followed by selective haemostasis by bipolar cauterisation at the bladder neck and in the prostatic resection bed with holmium laser enucleation of the prostate (HoLEP; H) with regard to the risk of perioperative bleeding complications. METHODS: We carried out a retrospective analysis of 382 patients who had undergone either Aquablation (n=167) or HoLEP (n=215) at our hospital between April 2018 and July 2020. For investigation of hematuria related/bleeding complications we collected data of perioperative Hb loss, the need for packed red blood cell transfusions and surgical revisions due to bleeding from the prostatic fossa. RESULTS: Transfusions were not necessary in the Aquablation group (A), while one man who underwent HoLEP (H) had to receive a transfusion. Revision surgery due to bleeding was necessary during the early postoperative course in 13.2% of Aquablations and in 9.8% of HoLEPs (statistically not significant; p=0.329). The perioperative Hb loss was comparable in both entire collectives (A 1.37±1.13 mg/dl, H 1.22±1.03 mg/dl; statistically not significant; p=0.353). For subgroup analysis the groups A and H were divided into three subgroups respectively according to sonographically determined preoperative prostate volume (“small” <40 ml, “medium” 41-80 ml, “large” >80 ml). There were no significant differences between the subgroups regarding need for transfusions and hematuria-related complications. CONCLUSIONS: The rate of perioperative hematuria related complications of Aquablation with subsequent selective haemostasis equals those found after holmium laser enucleation. Source of Funding: No external funding was necessary to conduct this study © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e357-e358 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Simon Gloger More articles by this author Burkhard Ubrig More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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- W3189770287 title "PD18-07 PERIOPERATIVE BLEEDING RISKS OF AQUABLATION WITH SUBSEQUENT SELECTIVE BIPOLAR CAUTERISATION VERSUS HOLMIUM LASER ENUCLEATION OF THE PROSTATE (HOLEP)" @default.
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