Evolution of prostatic surgical interventions: Analysis of French national coding database - Abstract

INTRODUCTION: Prostatic diseases are very important in urologist's practice.

We wanted to study evolution of prostatic procedures using French national coding database.

METHODS: We searched the Agence Technique d'Information sur l'Hospitalisation (ATIH) web server for prostatic procedures between 1997 and 2011 for both private and public sectors.

RESULTS: The procedures were more often performed in private sector (up to 70%). There was a sustained increase (+332%) of the number of prostatectomies between 1997 and 2007 (more than 27,000 procedures), followed by a slight decrease. There is a rising use of laparoscopic approach from 35% in 2006 up to 58% in 2011. The use of brachytherapy and HIFU was marginal. Transurethral resection of the prostate number was stable between 56,000 and 60,000 procedures a year (for cancer for less than 7%). Adenomectomies number decreased from 9832 to 7963 procedures a year.

CONCLUSION: The most noticeable data were upon prostatectomies number, with a peak effect in 2007. Laparoscopic procedures were more and more frequent. TURP number was stable, whereas adenomectomies number decreased.

Written by:
Alezra E, Fran├žois T, Kikassa JC, Saint F, Raynal G.   Are you the author?
Service de chirurgie urologique, GHP Sud de l'Oise, BP 69, 60109 Creil cedex, France.

Reference: Prog Urol. 2012 Oct;22(12):711-7.
doi: 10.1016/j.purol.2012.07.012

PubMed Abstract
PMID: 22999118

Article in French.

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