Table 3.
Outcomes
Unmatched cohort |
PSM cohort |
|||||
---|---|---|---|---|---|---|
HL (N = 1,459) | TFL (N = 470) | p | HL (N = 247) | TFL (N = 247) | P | |
Postoperative IDC duration (days), median [IQR] | 2.0 [1.0, 2.0] | 2.0 [1.0, 2.0] | 0.001 | 2.0 [2.0, 2.0] | 2.0 [1.0, 3.0] | 0.172 |
30-day complications, n (%) | 154 (10.6) | 70 (14.9) | 0.013 | 34 (13.8) | 46 (18.6) | 0.179 |
Post op ARU needing re-catheterization CD 1 | 43 (2.9) | 20 (4.3) | 0.216 | 6 (2.4) | 12 (4.9) | 0.230 |
Prolonged irrigation for hematuria CD2 | 15 (1.0) | 15 (3.2) | 0.002 | 2 (0.8) | 12 (4.9) | 0.015 |
Blood transfusion CD3 | 7 (0.5) | 0 | 0.288 | 3 (1.2) | 0 (0.0) | 0.247 |
Intra op bleeding requiring surgical control with roller ball CD2 | 14 (1.0) | 1 (0.2) | 0.193 | 2 (0.8) | 1 (0.4) | >0.99 |
UTI needing antibiotics CD 2 | 39 (2.7) | 19 (4.0) | 0.175 | 14 (5.7) | 14 (5.7) | >0.99 |
Sepsis needing ICU CD 4 | 3 (0.2) | 3 (0.6) | 0.323 | 0 (0.0) | 1 (0.4) | >0.99 |
Delayed/secondary morcellation CD2 | 9 (0.6) | 9 (1.9) | 0.023 | 1 (0.4) | 4 (1.6) | 0.369 |
Ureteric orifice injury needing stenting CD 3 | 2 (0.1) | 2 (0.4) | 0.540 | 0 (0.0) | 1 (0.4) | >0.99 |
Cardiovascular complications CD 4 | 8 (0.5) | 0 | 0.232 | 0 | 0 | – |
Prolonged bleeding despite conservative measures with need for additional hemostasis CD3 | 7 (0.5) | 0 | 0.288 | 3 (1.2) | 0 (0.0) | 0.247 |
Energy device/morcellator malfunction | 4 (0.3) | 0 | 0.58 | 0 | 0 | - |
Minor bladder injury from morcellation CD2 | 5 (0.3) | 1 (0.2) | >0.99 | 4 (1.6) | 1 (0.4) | 0.369 |
Redo surgery | 1 (0.1) | 0 | >0.99 | 1 (0.4) | 0 (0.0) | >0.99 |
Postoperative incontinence, n (%) | 151 (10.3) | 67 (14.3) | 0.025 | 51 (20.6) | 41 (16.6) | 0.298 |
Type of incontinence, n (%) | 0.341 | 0.362 | ||||
Urge | 29 (20.4) | 8 (12.1) | 12 (23.5) | 5 (12.5) | ||
Stress | 87 (61.3) | 44 (66.7) | 27 (52.9) | 26 (65.0) | ||
Mixed | 26 (18.3) | 14 (21.2) | 12 (23.5) | 9 (22.5) | ||
Duration of incontinence for those affected, n (%) | 0.955 | 0.883 | ||||
<1 month | 67 (48.2) | 33 (50.0) | 28 (54.9) | 21 (51.2) | ||
1–3 months | 45 (32.4) | 20 (30.3) | 15 (29.4) | 12 (29.3) | ||
>3 months | 27 (19.4) | 13 (19.7) | 8 (15.7) | 8 (19.5) | ||
Kegel exercise needed, n (%) | 118 (80.3) | 66 (97.1) | 0.002 | 43 (84.3) | 40 (95.2) | 0.175 |
Any cause 30-day readmission, n (%) | ||||||
Delayed complications, n (%) 6 months to 1 year | 26 (2.6) | 4 (0.9) | 0.044 | 8 (3.2) | 0 (0.0) | 0.013 |
Delayed complications, n (%) | 20 (2.0) | 10 (2.1) | >0.99 | 9 (3.6) | 3 (1.2) | 0.144 |
Urethral stricture requiring dilation only | 11 (1.1) | 2 (0.4) | 0.324 | 4 (1.6) | 0 (0.0) | 0.132 |
Urethral stricture requiring urethrotomy | 5 (0.5) | 6 (1.3) | 0.197 | 2 (0.8) | 3 (1.2) | >0.99 |
Bladder neck stenosis requiring TURBNI | 2 (0.2) | 2 (0.4) | 0.811 | 2 (0.8) | 0 (0.0) | 0.479 |
Stress incontinence requiring sling | 2 (0.2) | 0 | 0.833 | 1 (0.4) | 0 (0.0) | >0.99 |