JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 70

70

ePoster Session 8:
General Urology 2
Wednesday 27 June
1100-1200
Room 4
Chairs: Mark Speakman & Nick
Campain
P8-1 Can a low power holmium laser
enucleate large prostates? Operative &
patient outcome data for 132 50-watt
HoLEPs in Prostates > 75cc from a single
centre
Khan F1, Saleemi A1, Barrass B1, Taneja S1,
Mohammed A1, Alam A1, Nunney I2
1Luton & Dunstable NHS Foundation Trust, United Kingdom,
2Norwich Medical School, United Kingdom

Introduction: Most HoLEPs are performed by high powered lasers (100 & 120 Watt (W)). Many agree lower
power can enucleate successfully. Debate continues on
whether a 50 W laser can enucleate large prostates. We
present outcome data from 132 large prostates using a
low power holmium laser.
Method: Two HoLEP naïve surgeons completed 393
HoLEPs using a 50W holmium laser (Auriga XL, Boston
Scientific Inc., Piranha morcellator, Richard Wolf). 132 of
these were greater than 75cc (range 76-240cc). Pre and
post-operative flow rate (Qmax), residual volume (RV),
prostate symptom score (IPSS), quality of life score (QoL),
enucleation/total operating times, hospital stay, histology,
haemoglobin (Hb) and catheter times were accurately
recorded.
Results: SAS statistical software v 9.3 paired t-test and
non-parametric Wilcoxon signed-rank test. Mean age 72.7,
mean TRUS volume 108.7cc, 64.4% retention cases. Mean
enucleated weight 69.4g (95% CI 63.87, 74.86), mean
operating room time (enucleation & morcellation)
109.5mins (95% CI 102.18, 116.83) with an enucleation
rate of 1.01 g/min (95% CI 0.91, 1.10). Mean IPSS fell 14.26
points (95% CI -17.22, -11.30 p<0.0001), QoL scores
improved 3.46 (95% CI -4.11, -2.80 p<0.0001), mean
Qmax improved 20.3 ml/s (95% CI 14.41, 26.13 p<0.0001).
Mean hospital stay 1.11 days (95% CI 0.97, 1.24), mean Hb
reduction of 2.09 g/L (95% CI -2.30,-1.88, p<0.0001).
Stricture rate 2.3%, bladder neck contracture rate 2.3%.
All patients rendered catheter free. Two transfusions
recorded. Cancer detection 7.6%.
Conclusion: Low power holmium lasers can enucleate
large prostates with excellent clinical outcomes supporting its use as a cost-effective manner to deliver a HoLEP
service.

Journal of Clinical Urology 11(1S)
P8-2 Rezūm water vapour thermal therapy
for benign prostatic hyperplasia: early results
from the United Kingdom
Johnston M1, Gehring T1, Montgomery J1, Rajkumar G1,
Emara A1, Nedas T1, Ahmed H2, Hindley R1
1Department of Urology, Basingstoke and North Hampshire
Hospital, United Kingdom, 2Department of Surgery & Cancer,
Imperial College London, London, United Kingdom

Introduction: The Rezūm System is a novel minimally
invasive thermal therapy for the treatment of symptomatic BPH.We evaluated this new transurethral therapy in
patients with moderate to severe symptoms.
Materials & Methods: Ongoing prospective registry
evaluation of the first 67 consecutive cases performed in
the UK at two centres. All patients had moderate or
severe symptoms. Prostate volumes ranged from
22-110mls; patients with an obstructing median lobe and
those in retention were included. Pre- and post-procedure
assessments included the IPSS questionnaire with quality
of life (QOL), urinary flow rate (Qmax), prostate volume
and indwelling catheter presence.
Results: 36 of 67 procedures were performed under
local anaesthetic with sedation. At 3 months, mean IPSS
was significantly improved (-13.1 points) (p<0.001) as was
IPSS-QOL (p<0.001). Qmax improved by 6mL/s at 4-6
weeks, 8.4mL/s at 3 months, p<0.001 and 8.8ml/s at 6
months, p=0.002. Prostate volume was reduced by 36% at
3 months, p=0.002. After first trial without catheter, 56/67
(84%) were successful; at 3 months 65/67 (97%) were
catheter free. Using the Clavien-Dindo system there were
two grade II complications (UTI requiring antibiotics),
three grade 3b (two patients returned to theatre for clot
retention 1 month post operatively, and one had transurethral resection of infected prostate tissue at 3 weeks).
Conclusions: Preliminary results of this UK experience
with the Rezūm procedure demonstrate significant improvement of LUTS. It can be performed reliably as a day case
procedure. Longer term follow-up is required and will include
the comparison of outcomes to standard BPH treatments.
P8-3 Prostatic artery embolisation for the
treatment of lower urinary tract symptoms
and catheter-dependent urinary retention in
patients with benign prostatic hyperplasia
Fadel M1, Das R1, Katmawi-Sabbagh S1
George's NHS Foundation Trust, London, United Kingdom

1St

Introduction: Medical and surgical treatments for
benign prostatic hyperplasia (BPH) can be effective but
are associated with limitations. We report the outcomes
of an emerging technique of prostate artery embolisation
(PAE).



Table of Contents for the Digital Edition of JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018

Contents
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - BB1
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - BB2
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - Cover1
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - Cover2
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - Contents
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 2
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 3
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 4
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 5
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 6
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 7
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 8
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 9
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 10
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 11
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 12
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 13
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 14
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 15
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 16
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 17
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 18
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 19
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 20
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 21
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 22
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 23
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 24
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 25
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 26
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 27
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 28
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 29
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 30
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 31
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 32
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 33
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 34
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 35
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 36
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 37
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 38
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 39
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 40
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 41
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 42
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 43
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 44
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 45
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 46
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 47
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 48
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 49
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 50
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 51
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 52
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 53
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 54
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 55
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 56
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 57
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 58
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 59
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 60
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 61
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 62
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 63
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 64
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 65
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 66
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 67
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 68
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 69
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 70
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 71
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 72
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 73
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 74
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 75
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 76
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 77
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 78
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 79
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 80
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 81
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 82
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 83
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 84
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 85
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 86
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 87
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 88
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 89
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 90
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 91
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 92
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 93
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 94
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 95
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 96
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 97
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 98
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 99
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 100
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - Cover3
JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - Cover4
https://www.nxtbookmedia.com