SYSTEMATIZATION OF POSTOPERATIVE COMPLICATIONS OF HOLMIUM LASER ENUCLEATION OF THE PROSTATE - A STANDARDIZED APPROACH
Keywords:
BPH, HoLEP, complications, systematization, Clavien-Dindo classificationAbstract
Purpose of the study. Evaluation of the efficacy and safety of holmium laser enucleation of the prostate (HoLEP) through the systematization of postoperative complications in patients with benign prostatic hyperplasia (BPH).Material and methods. The results of HoLEP in 40 patients with BPH were studied. The mean age of the patients was 65.0±1.1 years. Clavien-Dindo classification was used to adapt to the assessment of postoperative complications of HoLEP.Results. In order to highlight the border of an uncomplicated course of the postoperative period with a complicated course, the criteria for an uncomplicated postoperative period are unified. Postoperative complications were systematized according to the adapted Clavien-Dindo classification and the following data were obtained: a total of 28 (70%) complications were observed, of which: complications of I degree - 8 (28.6%), II degree - 16 (57.1%), IIIa degree - 3 (10.7%), degree IIIb - 1 (3.6%), degree IVa - 0, degree IVb - 0, degree V - 0. Conclusions. For an objective assessment of the quality of surgical interventions and systematization of complications using the Clavien-Dindo classification, it must first be adapted, taking into account the specifics of the method and the postoperative period. HoLEP is a highly effective and safe surgical treatment for BPH. The effectiveness of treatment reached 100% due to the absence of complications requiring additional reconstructive plastic interventions, as well as deaths.
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