Lässt sich eine dauerhafte Katheterversorgung bei geriatrischen Patienten mit Harnverhalt oder chronischer Harnretention durch eine 180-W-XPS-Greenlight-Lasertherapie der Prostata vermeiden?
Knoblauch M, Wiedemann A, Heppner HJ (2020)
Publication Type: Journal article
Publication year: 2020
Journal
Book Volume: 51
Pages Range: 42-47
Journal Issue: 1
DOI: 10.1055/a-0942-9276
Abstract
Introduction This study aims to analyse the impact of a simultaneous 180-Watt XPS™ GreenLight laser treatment of the prostate in addition to an initially planned sole placement of a suprapubic catheter in geriatric patients initially hospitalised only for the purpose of the latter procedure. Methods A retrospective analysis was carried out on 48 patients undergoing both procedures simultaneously over an 18-month period (1/2015-6/2016). Results On admission, the examined patients (mean age 72.46 years) had a mean ISAR score of 2.5 (0-6) points indicating a need for geriatric care. These patients had a mean number of 7.676 (2-27) diagnoses and took a mean of 6.77 drugs (0-14) according to the discharge report. The mean residual urine volume was measured to be 600 (300-2,800) ml preoperatively with a mean prostate size of 38ccm (35-75ccm). In 63.2 of these patients, the removal of the suprapubic catheter was possible after a mean period of 52.39 (3-365) days in an outpatient setting. Factors predicting successful catheter removal were geriatric issues such as the ISAR score on admission (p=0.001), number of diagnoses stated in the discharge letter (p=0.023), number of diagnoses recorded in the DRG database (p=0.002), number of drugs stated in the discharge letter (p=0.015), assistance needed (p=0.001) and living in a nursing home (p=0.008). Any additional concomitant medication exceeding the mean value of 6.77 drugs in the discharge report lowered the chance of catheter removal by 50. Conclusions In 63.2 of patients, lifelong bladder drainage was avoided by simultaneous 180-Watt XPS GreenLight laser treatment administered additionally to the placement of a suprapubic catheter. This has a positive impact on quality of life, avoidance of catheter complications and long-term costs. Factors predicting a successful catheter removal were geriatric aspects such as ISAR score, multimorbidity and multimedication. These factors indicate a need to introduce geriatric aspects and methods in urology.
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Germany (DE)How to cite
APA:
Knoblauch, M., Wiedemann, A., & Heppner, H.J. (2020). Lässt sich eine dauerhafte Katheterversorgung bei geriatrischen Patienten mit Harnverhalt oder chronischer Harnretention durch eine 180-W-XPS-Greenlight-Lasertherapie der Prostata vermeiden? Aktuelle Urologie, 51(1), 42-47. https://doi.org/10.1055/a-0942-9276
MLA:
Knoblauch, Matilda, Andreas Wiedemann, and Hans Jürgen Heppner. "Lässt sich eine dauerhafte Katheterversorgung bei geriatrischen Patienten mit Harnverhalt oder chronischer Harnretention durch eine 180-W-XPS-Greenlight-Lasertherapie der Prostata vermeiden?" Aktuelle Urologie 51.1 (2020): 42-47.
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