National snapshot audit on the surgical management of LUTS/BPE: what has changed over the past two decades?
Published Date: 22nd January 2020
Publication Authors: McCabe JE
Introduction
Surgical treatment for lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia (BHP) has experienced changes over the years, with the addition of new treatments. There are limited data on the current national practices when compared with historical data.
Method
A national audit (audit of surgical management of benign prostatic enlargement; BPE) was conducted for patients undergoing surgery for LUTS/BPE over an 8 week period (March–April 2018). A two-part proforma, examining processes (eight items) and patient outcome (25 items), was designed and completed at participating sites. The results were analysed and compared with those from the larger national often (59%) or always (18%); 24% of centres reported that training needs impacted the type of treatment.
Conclusion
Monopolar transurethral resection of the prostate still forms the commonest surgical intervention with other technologies being available. There are variations in patient selection, pathways and treatments. Overall complication rates and hospital stays have significantly improved when compared with the results from the national prostate audit. There might be the need for longer evaluation of outcomes with the newer technologies.
Joshi, H; McCabe, J et al. (2020). National snapshot audit on the surgical management of LUTS/BPE: what has changed over the past two decades?. Journal of Clinical Urology. 13 (1), 83-84