Postoperative Infectious Complications in Our Early Experience With Holmium Laser Enucleation of the Prostate for Benign Prostatic Hyperplasia
Shigemura Katsumi, Tanaka Kazushi, Haraguchi Takahiro, Yamamichi Fukashi, Muramaki Mototsugu, Miyake Hideaki, Fujisawa Masato,
소속 상세정보
( Shigemura Katsumi )
Kobe University Graduate School of Medicine Department of Urology
( Tanaka Kazushi )
Kobe University Graduate School of Medicine Department of Urology
( Haraguchi Takahiro )
Kobe University Graduate School of Medicine Department of Urology
( Yamamichi Fukashi )
Kobe University Graduate School of Medicine Department of Urology
( Muramaki Mototsugu )
Kobe University Graduate School of Medicine Department of Urology
( Miyake Hideaki )
Kobe University Graduate School of Medicine Department of Urology
( Fujisawa Masato )
Kobe University Graduate School of Medicine Department of Urology
KMID : 0358320130540030189
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.
키워드
Benign prostatic hyperplasia;Holmium;Infection;Lasers;Postoperative complication;Prostatectomy
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