@Article{,
AUTHOR = {Simon Gloger, Leon Schueller, Laszlo Paulics, Thorsten Bach, Burkhard Ubrig},
TITLE = {Aquablation with subsequent selective  bipolar cauterization versus holmium laser enucleation of the prostate (HoLEP) with regard to perioperative bleeding},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {28},
YEAR = {2021},
NUMBER = {3},
PAGES = {10685--10690},
URL = {http://www.techscience.com/CJU/v28n3/60315},
ISSN = {1488-5581},
ABSTRACT = {<b>Introduction:</b> To compare the surgical methods of Aquablation followed by selective hemostasis by bipolar cauterization with holmium laser enucleation of the prostate (HoLEP) with regard to the risk of perioperative bleeding complications.<br/>
<b>Materials and methods:</b> A retrospective comparison was carried out on a total of 382 patients who had undergone either Aquablation (n = 167) or HoLEP (n = 215) at our hospital between April 2018 and July 2020. The following were studied: Hb loss, the need for packed red blood cell transfusions, and surgical revisions due to bleeding from the prostatic fossa.<br/>
<b>Results:</b> Transfusions were not necessary in the Aquablation group, while one man who underwent HoLEP had to receive a transfusion. Revision surgery due to bleeding was necessary during the early postoperative course in 13.2% of Aquablations and in 9.8% of HoLEPs (statistically not significant; p = 0.329). The perioperative Hb loss was comparable in both entire collectives (Aquablation 1.37 ± 1.13 mg/dL, HoLEP 1.22 ± 1.03 mg/dL; statistically not significant; p = 0.353). For subgroup analysis, the groups Aquablation and HoLEP were into three subgroups respectively according to sonographically determined preoperative prostate volume (“small” < 40 mL, “medium” 41-80 mL, “large” > 80 mL). There were no significant differences between the subgroups regarding need for transfusions and hematuria-related complications.<br/>
<b>Conclusions:</b> The rate of perioperative hematuria-related complications of Aquablation with subsequent selective hemostasis equals those found after holmium laser enucleation.},
DOI = {}
}