Introduction
The purpose of this study was to assess treatment satisfaction and treatment regret in patients undergoing surgery for Lower Urinary Tract Symptoms (LUTS)/ Benign Prostatic Hyperplasia (BPH).
Materials and Methods
Data of consecutive patients undergoing LUTS/BPH surgery was prospectively collected and analysed. All patients underwent detailed clinical history and physical examination, perioperative and postoperative characteristics were recorded. Decision regret was evaluated with valid questionnaires; satisfaction score ranged from 3 to 15 (Satisfaction<5) while regret scores ranged from 2 to 10 (Regret>5). Predictors of regret and satisfaction after LUTS/BPH surgery were evaluated using logistic regression analysis.
Results
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A total of 522 patients were enrolled
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284 (29%) underwent TURP
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40 (4%) underwent HoLep
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114 (12%) underwent robotic simple prostatectomy (RSP)
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84 (9%) underwent aquablation
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Median satisfaction score was 7 (3/7) and median regret score was 10 (10/10)
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Patients undergoing RSP (median 3:3/3) and Aquablation (median 3:3/3) presented better median satisfaction scores when compared to TURP (median 7:7/7) and HoLep (median 7:7/7).
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In terms of treatment regret, higher rates of treatment regret were recorded for aquablation (21/84 :25%) and RSP (11/114: 9,6%) when compared to TURP (7/284:2,5%) and HoLep (2/40:5%).
Conclusion
In individuals receiving surgery for BPH/LUTS, RSP and Aquablation show greater median satisfaction levels compared to endoscopic procedures. Nevertheless, these patients, along with those experiencing postoperative complications, are at an increased risk of treatment regret.
European Association of Urology, 21-24 March 2025, Madrid, Spain.
