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Photoselective laser vaporization prostatectomy versus transurethral prostate resection: a cost analysis.
J Urol. 2010 Apr; 183(4):1469-73.JU

Abstract

PURPOSE

Laser procedures to treat symptomatic benign prostatic hyperplasia are becoming more common despite concern for potentially increasing cost burdens often associated with new technologies.

MATERIALS AND METHODS

Actual costs associated with photoselective laser vaporization prostatectomy and transurethral prostate resection were measured using the EPSi and TSI (Eclipsys) hospital cost accounting systems at 2 large tertiary referral centers for the first 12 months that GreenLight HPS was performed. Only patients who presented for photoselective laser vaporization prostatectomy or transurethral prostate resection as the principal treatment during the hospital visit were included in study.

RESULTS

A total of 250 men underwent transurethral prostate resection and 220 underwent photoselective laser vaporization prostatectomy, including 194 (78%) and 209 (95%), respectively, treated on an outpatient basis with less than 23 hours of hospitalization. Overall costs of laser vaporization were lower than those of transurethral prostate resection ($4,266 +/- $1,182 vs $5,097 +/- $5,003, p = 0.01). Average inpatient length of stay was also longer in the resection group.

CONCLUSIONS

The actual costs of photoselective laser vaporization prostatectomy at our affiliated hospitals are lower than those of transurethral prostate resection. The primary reason is likely that most patients who undergo laser vaporization are treated on an outpatient basis compared to those who undergo resection. While significant complications are uncommon, those that prolong inpatient hospitalization such as hyponatremia (transurethral resection syndrome), which is associated with transurethral prostate resection but not with photoselective laser vaporization prostatectomy, can add substantial expense. Further studies are warranted to investigate these findings on a broader scale.

Authors+Show Affiliations

Scott Department of Urology, Baylor College of Medicine, Houston, Texas, USA.No affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20172555

Citation

Goh, Alvin C., and Ricardo R. Gonzalez. "Photoselective Laser Vaporization Prostatectomy Versus Transurethral Prostate Resection: a Cost Analysis." The Journal of Urology, vol. 183, no. 4, 2010, pp. 1469-73.
Goh AC, Gonzalez RR. Photoselective laser vaporization prostatectomy versus transurethral prostate resection: a cost analysis. J Urol. 2010;183(4):1469-73.
Goh, A. C., & Gonzalez, R. R. (2010). Photoselective laser vaporization prostatectomy versus transurethral prostate resection: a cost analysis. The Journal of Urology, 183(4), 1469-73. https://doi.org/10.1016/j.juro.2009.12.020
Goh AC, Gonzalez RR. Photoselective Laser Vaporization Prostatectomy Versus Transurethral Prostate Resection: a Cost Analysis. J Urol. 2010;183(4):1469-73. PubMed PMID: 20172555.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Photoselective laser vaporization prostatectomy versus transurethral prostate resection: a cost analysis. AU - Goh,Alvin C, AU - Gonzalez,Ricardo R, Y1 - 2010/02/20/ PY - 2009/07/21/received PY - 2010/2/23/entrez PY - 2010/2/23/pubmed PY - 2010/4/30/medline SP - 1469 EP - 73 JF - The Journal of urology JO - J Urol VL - 183 IS - 4 N2 - PURPOSE: Laser procedures to treat symptomatic benign prostatic hyperplasia are becoming more common despite concern for potentially increasing cost burdens often associated with new technologies. MATERIALS AND METHODS: Actual costs associated with photoselective laser vaporization prostatectomy and transurethral prostate resection were measured using the EPSi and TSI (Eclipsys) hospital cost accounting systems at 2 large tertiary referral centers for the first 12 months that GreenLight HPS was performed. Only patients who presented for photoselective laser vaporization prostatectomy or transurethral prostate resection as the principal treatment during the hospital visit were included in study. RESULTS: A total of 250 men underwent transurethral prostate resection and 220 underwent photoselective laser vaporization prostatectomy, including 194 (78%) and 209 (95%), respectively, treated on an outpatient basis with less than 23 hours of hospitalization. Overall costs of laser vaporization were lower than those of transurethral prostate resection ($4,266 +/- $1,182 vs $5,097 +/- $5,003, p = 0.01). Average inpatient length of stay was also longer in the resection group. CONCLUSIONS: The actual costs of photoselective laser vaporization prostatectomy at our affiliated hospitals are lower than those of transurethral prostate resection. The primary reason is likely that most patients who undergo laser vaporization are treated on an outpatient basis compared to those who undergo resection. While significant complications are uncommon, those that prolong inpatient hospitalization such as hyponatremia (transurethral resection syndrome), which is associated with transurethral prostate resection but not with photoselective laser vaporization prostatectomy, can add substantial expense. Further studies are warranted to investigate these findings on a broader scale. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/20172555/Photoselective_laser_vaporization_prostatectomy_versus_transurethral_prostate_resection:_a_cost_analysis_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2009.12.020?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -