SYSTEMATIZATION OF POSTOPERATIVE COMPLICATIONS OF HOLMIUM LASER ENUCLEATION OF THE PROSTATE - A STANDARDIZED APPROACH

<strong>Purpose of the study.</strong> Evaluation of the efficacy and safety of holmium laser enucleation of the prostate (HoLEP) through the systematization of postoperative complications in patients with benign prostatic hyperplasia (BPH). <strong>Material and methods.</strong> The results of HoLEP in 40 patients with BPH were studied. The mean age of the patients was 65.0±1.1 years. Clavien-Dindo classification was used to adapt to the assessment of postoperative complications of HoLEP. <strong>Results. </strong>In order to highlight the border of an uncomplicated course of the postoperative period with a complicated course, the criteria for an uncomplicated postoperative period are unified. Postoperative complications were systematized according to the adapted Clavien-Dindo classification and the following data were obtained: a total of 28 (70%) complications were observed, of which: complications of I degree - 8 (28.6%), II degree - 16 (57.1%), IIIa degree - 3 (10.7%), degree IIIb - 1 (3.6%), degree IVa - 0, degree IVb - 0, degree V - 0. <strong> Conclusions.</strong> For an objective assessment of the quality of surgical interventions and systematization of complications using the Clavien-Dindo classification, it must first be adapted, taking into account the specifics of the method and the postoperative period. HoLEP is a highly effective and safe surgical treatment for BPH. The effectiveness of treatment reached 100% due to the absence of complications requiring additional reconstructive plastic interventions, as well as deaths. <strong>Key words:</strong> BPH, HoLEP, complications, systematization, Clavien-Dindo classification. <strong>Purpose of the study.</strong> Evaluation of the efficacy and safety of holmium laser enucleation of the prostate (HoLEP) through the systematization of postoperative complications in patients with benign prostatic hyperplasia (BPH). <strong>Material and methods.</strong> The results of HoLEP in 40 patients with BPH were studied. The mean age of the patients was 65.0±1.1 years. Clavien-Dindo classification was used to adapt to the assessment of postoperative complications of HoLEP. <strong>Results. </strong>In order to highlight the border of an uncomplicated course of the postoperative period with a complicated course, the criteria for an uncomplicated postoperative period are unified. Postoperative complications were systematized according to the adapted Clavien-Dindo classification and the following data were obtained: a total of 28 (70%) complications were observed, of which: complications of I degree - 8 (28.6%), II degree - 16 (57.1%), IIIa degree - 3 (10.7%), degree IIIb - 1 (3.6%), degree IVa - 0, degree IVb - 0, degree V - 0. <strong> Conclusions.</strong> For an objective assessment of the quality of surgical interventions and systematization of complications using the Clavien-Dindo classification, it must first be adapted, taking into account the specifics of the method and the postoperative period. HoLEP is a highly effective and safe surgical treatment for BPH. The effectiveness of treatment reached 100% due to the absence of complications requiring additional reconstructive plastic interventions, as well as deaths.

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