Living status in patients over 85 years of age after TUVRP

Li, Anqi; Zhang, Y.; Lü, Hongmei; Zhang, F.; Liu, S. K.; Wang, H.; Zhang, B. H.

doi:10.3109/13685538.2013.826186

Cited by 5 publications

(8 citation statements)

References 14 publications

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“…However, increasing age itself is an important risk factor for postoperative morbidity and mortality (11) . The most important factor affecting perioperative morbidity and mortality in elderly patients are concomitant diseases originating from organs and systems, especially cardiovascular, pulmonary, endocrine, and neurological systems (12,13) .…”

Section: Discussionmentioning

confidence: 99%

WITHDRAWN: Comparison Of Different Anesthetic Techniques Used For Geriatric Patients Who Underwent TUR-P Operation: Single Center Experience

Gozcu

Şen

et al. 2020

Preprint

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Objectives To investigate impacts that effect entrance to intensive care unit, mortality, and cost; according to demographical and clinical parameters of patients, and different anesthetic techniques performed on patients who underwent TUR-P operation. Methods Data of 234 patients aged 60 years and older who underwent TUR-P operations was evaluated retrospectively. The patients were examined in two groups as neuroaxial and general anesthesia groups. Charlson Comorbidity Index, preoperative laboratory parameters, presence of comorbidity, preoperative intensive care requirement, operation duration were obtained from hospital records. The cost calculation was based on the length of the patient's stay in hospital and intensive care unit. Results According to ASA score, no significant difference was observed among operation duration, length of hospital stay and intensive care unit stay. According to the CCI score, there was no significant difference among the operation time; however, when the patient's CCI was 3 and above 3, the duration of intensive care stay and hospital stay were significantly longer. The cost was increased significantly when CCI was 3 and above 3, but did not change according to the ASA score. Conclusions In our study, it was observed that the type of anesthesia did not affect the duration of surgery, rate of entrance to intensive care unit, length of intensive care stay, length of hospital stay, mortality and the cost. However, it was observed that the duration of hospitalization and rate of intensive care unit entrance increased in patients with CCI 3 and above, therefore the cost was increased.

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Section: Discussionmentioning

confidence: 99%

WITHDRAWN: Comparison Of Different Anesthetic Techniques Used For Geriatric Patients Who Underwent TUR-P Operation: Single Center Experience

Gozcu

Şen

et al. 2020

Preprint

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“…for Hol-TUIP [ 28 ]. The postoperative IPSS was 11.2 for TUVRP [ 29 ], 10.2 for HoLAP [ 28 ], and 6.5 for Hol-TUIP [ 24 ].…”

Section: Resultsmentioning

confidence: 99%

“…For comparison, the postoperative QoL from one selected study was 1.1 for TUVRP [ 29 ], 1.0 for HoLAP, and 1.7 for Hol-TUIP [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

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Functional Outcome and Safety of Endoscopic Treatment Options for Benign Prostatic Obstruction (BPO) in Patients ≥ 75 Years of Age

Deininger,

Dieplinger,

Lauth

et al. 2024

JCM

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Background: The selection of suitable patients for the surgical treatment of benign prostatic obstruction (BPO) is a challenge in persons ≥75 years of age. Methods: After a systematic literature search of PubMed, 22 articles were included in this review. Clinical and functional parameters were evaluated statistically. Results: The mean age of the patients was ≥79 years. The mean duration of postoperative catheterization ranged between 2 (d) (ThuLEP, thulium laser enucleation of the prostate) and 4.4 days (TURP, transurethral resection of the prostate). Complication rates ranged between 6% (HoLAP, holmium laser ablation of the prostate) and 34% (PVP, photoselective vaporization of the prostate); the maximum rate of severe complications was 4% (TURP). The mean postoperative maximal urinary flow (Qmax) in mL/sec. ranged between 12.9 mL/sec. (HoLAP) and 19.8 mL/sec (Hol-TUIP, holmium laser transurethral incision of the prostate). The mean quality of life (QoL) score fell from 4.7 ± 0.9 to 1.8 ± 0.7 (HoLEP), from 4.1 ± 0.4 to 1.9 ± 0.8 (PVP), from 5.1 ± 0.2 to 2.1 ± 0.2 (TURP), and from 4 to 1 (ThuVEP, thulium laser vapoenucleation of the prostate). Pearson’s correlation coefficient (r) revealed a positive linear correlation between age and inferior functional outcome (higher postoperative International Prostate Symptom Score (IPSS) [r = 0.4175]), higher overall complication rates (r = 0.5432), and blood transfusions (r = 0.4474) across all surgical techniques. Conclusions: This meta-analysis provides the summary estimates for perioperative and postoperative functional outcome and safety of endoscopic treatment options for BPO in patients ≥ 75 years of age. Of particular importance is that all surgical techniques significantly improve the postoperative quality of life of patients in this age group compared to their preoperative quality of life.

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“…Previous studies have demonstrated that nearly 60% of patients undergoing RS experience at least one complication within 90 days of surgery [16,17]. In addition, there are several studies showing the effect of aging on urological surgeries in the literature [18][19][20]. In a study comparing two age groups (75-84 years vs. !85 years) undergoing RS, Compoj et al [10] found no significant difference in the complication, 30-day mortality, and overall and cancer-specific survival rates between the groups, while the 90-day mortality rate was significantly higher in the patients aged !85 years.…”

Section: Discussionmentioning

confidence: 99%

Open radical cystectomy is a reliable surgery with acceptable complication rates in elderly male patients: a retrospective, tertiary hospital-based study

et al. 2019

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Objective: This study aims to evaluate safety of radical cystectomy (RS)þpelvic lymph node dissection (PLND)þileal conduit urinary diversion (ICUD) in male patients aged >65 years versus 65 years. Materials and Methods: Eighty-five male patients who underwent RS þ PLND þ ICUD for bladder cancer were retrospectively analyzed. The patients were divided into two groups according to age: 65 years (Group 1, n ¼ 40) versus >65 years (Group 2, n ¼ 45). Data including baseline demographic and clinical characteristics of the patients, length of hospital stay, and complications within 90 days of surgery, and Grade II and Grade ! III complications according to the Clavien-Dindo (C-D) classification were recorded. Groups were compared in terms of demographic features and development of complications within 90 day after surgery statistically. Results: The median length of hospital stay was statistically significantly longer in Group 2 than Group 1 [10 (7-17) days vs. 9 (6-14) days, respectively; p < .05]. There was no statistically significant difference in the rehospitalization rate within 90 days of surgery between the groups (p > .05). Conclusion:Our study results suggest that RS þ PLND þ ICUD is a safe procedure in male patients aged !65 years.

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Living status in patients over 85 years of age after TUVRP

Abstract: Surgical risk in patients over 85 years of age was higher than patients less than the age of 80 years. A safety TUVRP could improve their voiding function and activities of daily living.

Cited by 5 publications

References 14 publications

WITHDRAWN: Comparison Of Different Anesthetic Techniques Used For Geriatric Patients Who Underwent TUR-P Operation: Single Center Experience

WITHDRAWN: Comparison Of Different Anesthetic Techniques Used For Geriatric Patients Who Underwent TUR-P Operation: Single Center Experience

Functional Outcome and Safety of Endoscopic Treatment Options for Benign Prostatic Obstruction (BPO) in Patients ≥ 75 Years of Age

Open radical cystectomy is a reliable surgery with acceptable complication rates in elderly male patients: a retrospective, tertiary hospital-based study

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