Cost analysis of GreenLight photoselective vaporization of the prostate versus standard transurethral resection of the prostate: Benefit of ambulatory care

Purpose. - To compare the costs associated with Greenlight XPS 180 W 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. Material and methods. - 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. Results. - 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 TURF was 3,7 days versus 0,9 days for PVP including 64,7% ambulatory. The cost-benefit was more of 500(sic) per patient in favor of ambulatory PVP compared with TURF in conventional three nights hospitalization for level 1 hospital stays. Conclusion. - In this private hospital center, ambulatory PVP seemed more cost-effective than TURF 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. (C) 2020 Elsevier Masson SAS. All rights reserved.