A COMPARATIVE STUDY THE COST OF TREATMENT ON BENIGN PROSTATIC HYPERPLASIA BY VISUAL LASER ABLATION AND INTERSTITIAL LASER COAGULATION VERSUS TRANSURETHRAL RESECTION
Article published in Urologia Polska 1999/52/1.

authors

Wojciech Pypno, Wojciech Husiatyński

Klinika Urologii CMKP w Warszawie
Kierownik Kliniki: prof. dr hab. med. A. Borówka

keywords

prostate BPH laser ablation interstitial laser coagulation transurethral resection cost

summary

Objective. Authors achieved a comparative study the cost of treatment on

benign prostatic hyperplasia using Nd: YAG laser by visual ablation (VLAP)

and interstitial coagulation (ILCP) versus transurethral resection (TURP).

Material and methods. We have investigated the cost of treatment 259

patients with benign prostatic hyperplasia. 147 patients with laser procedure

were performed; 117 ? VLAP, 30 ? ILCP. 112 were treated by transurethral

resection. Patients treated by VLAP and ILCP formed common group,

because the cost both methods was just the same. The second group was

done on patients treated by TURP. The costs of the all components were as:

amortization of the durable apparatuses, costs of exchangeable instruments,

anaesthesia, medicines, the blood transfusion, hospitalization and payments

of medical staff. The average cost of each procedure from last quarter of 1996

was counted.

Results. The price of medical instruments necessary for laser treatment

was'manifold higher than these of TURP. The cost of hospitalization and

medicines was distinctly higher in TURP group. The expense for the laser

procedure was finally counted as 1880 zł and for transurethral resection as

810 zł.

Conclusions. The treatment cost of benign prostatic hyperplasia in Poland

using Nd: YAG laser is about twice higher than transurethral resection.

references