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Prostatic urethral lift (UroLift): a real-world analysis of outcomes using hospital episodes statistics

Lookup NU author(s): Dr Tobias Page, Kim Keltie, Dr Andrew Sims

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Abstract

© 2021, The Author(s).Background: To determine real-world outcomes of prostatic urethral lift (UroLift) procedures conducted in hospitals across England. Methods: A retrospective observational cohort was identified from Hospital Episode Statistics data including men undergoing UroLift in hospitals in England between 2017 and 2020. Procedure uptake, patient demographics, inpatient complications, 30-day accident and emergency re-attendance rate, requirement for further treatment and catheterization were captured. Kaplan–Meier and hazard analysis were used to analyse time to re-treatment. Results: 2942 index UroLift procedures from 80 hospital trusts were analysed; 85.3% conducted as day-case surgery (admitted to hospital for a planned surgical procedure and returning home on the same day). In-hospital complication rate was 3.4%. 93% of men were catheter-free at 30 days. The acute accident and emergency attendance rate within 30 days was 12.0%. Results of Kaplan Meier analysis for subsequent re-treatment (including additional UroLift and endoscopic intervention) at 1 and 2 years were 5.2% [95% CI 4.2 to 6.1] and 11.9% [10.1 to 13.6] respectively. Conclusions: This real-world analysis of UroLift shows that it can be delivered safely in a day-case setting with minimal morbidity. However, hospital resource usage for catheterization and emergency hospital attendance in the first 30 days was substantial, and 12% required re-treatment at 2 years.


Publication metadata

Author(s): Page T, Veeratterapillay R, Keltie K, Burn J, Sims A

Publication type: Article

Publication status: Published

Journal: BMC Urology

Year: 2021

Volume: 21

Issue: 1

Online publication date: 07/04/2021

Acceptance date: 25/03/2021

ISSN (electronic): 1471-2490

Publisher: BioMed Central Ltd

URL: https://doi.org/10.1186/s12894-021-00824-5

DOI: 10.1186/s12894-021-00824-5

PubMed id: 33827525


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