Postoperative Infectious Complications in Our Early Experience With Holmium Laser Enucleation of the Prostate for Benign Prostatic Hyperplasia.
10.4111/kju.2013.54.3.189
- Author:
Katsumi SHIGEMURA
1
;
Kazushi TANAKA
;
Takahiro HARAGUCHI
;
Fukashi YAMAMICHI
;
Mototsugu MURAMAKI
;
Hideaki MIYAKE
;
Masato FUJISAWA
Author Information
1. Division of Urology, Department of Organs Therapeutics, Kobe University Graduate School of Medicine, Kobe, Japan. yutoshunta@hotmail.co.jp
- Publication Type:Original Article
- Keywords:
Benign prostatic hyperplasia;
Holmium;
Infection;
Lasers;
Postoperative complication;
Prostatectomy
- MeSH:
Epididymitis;
Holmium;
Humans;
Klebsiella;
Lasers, Solid-State;
Male;
Mirabilis;
Postoperative Complications;
Prospective Studies;
Prostate;
Prostatectomy;
Prostatitis;
Pyelonephritis;
Retrospective Studies;
Sepsis;
Serratia
- From:Korean Journal of Urology
2013;54(3):189-193
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The objective of this study was to retrospectively investigate postoperative infectious complications (PICs) in our early experience with holmium laser enucleation of the prostate (HoLEP) followed by mechanical morcellation for symptomatic benign prostatic hyperplasia. MATERIALS AND METHODS: A retrospective review was performed of the clinical data for 90 consecutive patients who underwent HoLEP at our institution between February 2008 and March 2011. All patients were evaluated for the emergence of PICs, including prophylactic antibiotic administration (PAA) and the influence of the kind or duration of PAA on PIC. The details of cases with PICs were also examined. RESULTS: The patients' mean age was 71 years (range, 50 to 95 years), and their mean prostate volume was 60 mL (range, 2 to 250 mL). There were 7 cases (7.78%) with PICs; in detail, 3 patients were diagnosed with prostatitis, 2 with pyelonephritis, and 2 with epididymitis. Three patients had positive urine cultures: 1 had Serratia marcescens/Proteus mirabilis, 1 had S. marcescens, and 1 had Klebsiella pneumonia; only one case had urological sepsis. Our statistical data showed no significant differences between 2 or fewer days and 3 or more days of PAA and PIC occurrence. There was also no significant effect on PIC occurrence of sulbactam/ampicillin compared with other antibiotics. CONCLUSIONS: The results of this retrospective study showed that PIC occurrence did not depend on the duration or the kind of PAA. Further prospective study is necessary for the evaluation and establishment of prophylactic measures for PICs.
