To compare the costs associated with GreenLight XPS 180W photoselective vaporization of the prostate (PVP) for an outpatient versus standard transurethral resection of the prostate (TURP) with a three nights hospitalization in a French private hospital.
A retrospective cost minimization analysis was performed between 2017 and 2019 in a French private hospital for the hospital stays associated with TURP and PVP procedures for benign prostatic hyperplasia (BPH). The peri-operative cost-benefit assessment of the two procedures was analyzed from the establishment's point of view according to the micro-costing method.
871 surgical treatment for BPH had been performed during the period of the study, including 743 photoselective laser vaporization (85%). The average length of stay of patients undergoing TURP was 3,7 days versus 0,9 days for PVP including 64,7% ambulatory. The cost-benefit was more of 500€ per patient in favor of ambulatory PVP compared with TURP in conventional three nights hospitalization for level 1 hospital stays.
In this private hospital center, ambulatory PVP seemed more cost-effective than TURP with a three nights hospitalization for a severity level 1 patient. The financial profit for the establishment was mostly due to reduction of the main length of stay and ambulatory care.
3.
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie. 2021 Jan 15 [Epub ahead of print]
C Richard, G Robert, B N Pradère, J Wilisch, S Doizi, S Le Calvez, E D Negra, Comité des Troubles Mictionnels de l’Homme de l’Association Française d’Urologie
Service d'urologie, CHU de Rennes, Rennes, France. Electronic address: ., Service d'urologie, CHU de Bordeaux, Bordeaux, France., Service d'urologie, CHU Tours, Tours, France; Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria., Service d'urologie, Hôpital Privé Natecia, Lyon, France., Service d'urologie, Hôpital Thenon, Paris, France., Département d'information médicale, hôpital privé des côtes d'armor, Plérin, France., Centre briochin d'urologie, hôpital privé des côtes d'armor, Plérin, France.