前列腺钬激光剜除术后当日拔除导尿管及出院：一项前瞻性研究。
Same-day Catheter Removal and Hospital Discharge After Holmium Laser Enucleation of the Prostate: A Prospective Study.
作者信息
Carvalho Bruno Ribeiro Guimarães, Gabrich Pedro Nicolau, de Marins Rodrigo Loureiro, Damião Ronaldo, Oliveira Romulo Varella
机构信息
University of the State of Rio de Janeiro, Rio de Janeiro.
University of the State of Rio de Janeiro, Rio de Janeiro.
出版信息
Urology. 2024 Aug;190:78-82. doi: 10.1016/j.urology.2024.06.001. Epub 2024 Jun 11.
OBJECTIVE
To assess the feasibility, safety, and predictive factors for the success of holmium laser enucleation of the prostate (HoLEP) with catheter removal and hospital discharge on the same day of the procedure.
METHODS
This prospective study included 34 patients who underwent HoLEP using a 60-W holmium laser device and the Wolf Piranha morcellation system. Surgeries began at 10:30 am and the patients were expected to be discharged by 5 pm on the same day. The patients underwent a voiding trial to remove the urinary catheter before hospital discharge. Functional outcomes were assessed 90 days after the procedure.
RESULTS
Mean (range) age, prostate-specific antigen value, and prostate weight were as follows: 63.4 (50-80) years, 4.81 (0.19-14) ng/mL, and 89.3 (33-258) g, respectively. The mean (range) enucleation and morcellation times were 56.2 (29-91) minutes and 14.67 (3-45) minutes, respectively. Thirty-one patients (91.1%) were discharged on the same day of the procedure after urinary catheter removal.
CONCLUSION
The performance of HoLEP is safe on an outpatient basis. Same-day catheter removal is feasible and does not affect hospital discharge.
目的
评估在前列腺钬激光剜除术（HoLEP）手术当天拔除导尿管并出院的可行性、安全性及成功的预测因素。
方法
这项前瞻性研究纳入了34例行HoLEP手术的患者，使用60W钬激光设备及Wolf Piranha组织粉碎系统。手术于上午10:30开始，预计患者在当天下午5点前出院。患者在出院前进行排尿试验以拔除导尿管。术后90天评估功能结局。
结果
平均（范围）年龄、前列腺特异性抗原值及前列腺重量分别如下：63.4（50 - 80）岁、4.81（0.19 - 14）ng/mL及89.3（33 - 258）g。平均（范围）剜除及粉碎时间分别为56.2（29 - 91）分钟及14.67（3 - 45）分钟。31例患者（91.1%）在拔除导尿管后于手术当天出院。
结论
门诊进行HoLEP手术是安全的。当天拔除导尿管可行且不影响出院。
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