Page 5 - [Podium Sessions] CUA 2022 Annual Meeting Abstracts

Podium 2: Endourology

Patients discharged for conservative management of a ureteric stone had a we began performing robotic-assisted radical prostatectomy (RARP) and
lower representation rate in the post-guideline group (12.6%) compared laser enucleation of the prostate (LEP) as outpatient surgeries. Recent
with the pre-guideline group (17.2%), however, this did not reach statis- literature has suggested that RARP and LEP are safe and feasible as same-
tical significance (p=0.18). day surgeries. 3-6 Our goal was to determine if there was a difference in
Conclusions: We recommend the implementation of local clinical prac-
tice guidelines to streamline and standardize the assessment and man-
agement of ureteric stones in the ED. There is significant benefit in both POD-2.4. Table 1B. LEP patient characteristics
patient and hospital outcomes, with decreased radiation exposure through Planned same- Planned p
a reduced number of CT scans, reduced ED length of stay, and reduced day (n=46) inpatient (n=30)
representation rates.
Age
POD-2.4 Mean (SD) 70.4 (7.31) 69.3 (6.68) 0.488
Performing urological inpatient procedures as same-day Median [min, max] 70.5 [56.0, 84.0] 70.0 [55.0, 83.0]
procedures during the COVID pandemic — a retrospective ASA
feasibility study 1 17 (37.0%) 11 (36.7%) 0.913
Nicolas Siron , Anis Assad , Jean-Baptiste Lattouf , Kevin Zorn , Malek
1
1
1
1
Meskawi , Naeem Bhojani 1 2 23 (50.0%) 16 (53.3%)
1
1 Division of Urology, University of Montreal Hospital Centre (CHUM), 3 6 (13.0%) 3 (10.0%)
Montreal, QC, Canada RCRI
Introduction: In line with provincial directives due to the COVID pan-
demic, certain urological procedures that are normally performed as 0 39 (84.8%) 28 (93.3%) 0.127
inpatient procedures were performed as same-day procedures to reduce 1 7 (15.2%) 1 (3.3%)
the usage of healthcare resources. At our center, during the pandemic, 2 0 (0%) 1 (3.3%)
1,2
Anesthesia
POD-2.4. Table 1A. RARP patient characteristics General 5 (10.9%) 1 (3.3%) 0.45
Planned Planned same- p Regional 41 (89.1%) 29 (96.7%)
inpatient (n=95) day (n=43) Anticoagulated
Surgery No 33 (71.7%) 30 (100%) 0.00601
RARP 92 (96.8%) 42 (97.7%) 1 Antiplatelet 12 (26.1%) 0 (0%)
RARPLND 3 (3.2%) 1 (2.3%) Anticoagulated 1 (2.2%) 0 (0%)
Prostate volume Prostate volume
Mean (SD) 54.4 (25.0) 48.5 (18.4) 0.127 Mean (SD) 84.1 (39.6) 92.8 (43.2) 0.4
Median [min, max] 48.0 [19.0, 135] 43.0 [23.0, 108] Median [min, max] 79.0 [26.0, 203] 85.0 [8.00, 170]
Age Missing 10 (21.7%) 0 (0%)
Mean (SD) 60.9 (5.96) 62.4 (6.59) 0.196 Perioperative 42 (91.3%) 30 (100%) 0.257
Median [min, max] 62.0 [47.0, 73.0] 63.0 [45.0, 74.0] complications
ASA No 4 (8.7%) 0 (0%)
1 18 (18.9%) 6 (14.0%) 0.164 Yes
2 67 (70.5%) 36 (83.7%) Patient characteristics between planned same-day LEP vs. inpatient, including age, ASA,
3 10 (10.5%) 1 (2.3%) RCRI, anesthesia, anticoagulation, prostate volume, and perioperative complications.
RCRI
0 86 (90.5%) 40 (93.0%) 0.876 POD-2.4. Table 2A. RARP same-day discharge success
1 9 (9.5%) 3 (7.0%) rate
Anesthesia Planned Planned p
General 95 (100%) 43 (100%) <0.001 inpatient (n=95) same-day
(n=43)
Anticoagulated Actual patient
No 94 (98.9%) 41 (95.3%) 0.476 orientation
Yes 1 (1.1%) 2 (4.7%) Hospitalized 95 (100%) 11 (25.6%) <0.001
Blood loss Discharged 0 (0%) 32 (74.4%)
Mean (SD) 231 (96.8) 198 (65.4) 0.0194 30-day emergency visit
Median [min, max] 200 [100, 600] 200 [100, 500] No 91 (95.8%) 35 (81.4%) 0.0142
Perioperative Yes 4 (4.2%) 8 (18.6%)
Complications 83 (87.4%) 36 (83.7%) 0.757 Readmission
No 12 (12.6%) 7 (16.3%) No 93 (97.9%) 39 (90.7%) 0.142
Yes Yes 2 (2.1%) 4 (9.3%)
Patient characteristics between planned same-day RARP vs. inpatient, including age, ASA, Rates of successful same-day discharge, duration of hospitalization, emergency consul-
RCRI, anesthesia, anticoagulation, prostate volume, and perioperative complications.
tation, and readmission in planned same-day RARP vs. inpatient.

CUAJ • June 2022 • Volume 16, Issue 6(Suppl1) S9