Hospital caseload thresholds for improved perioperative outcomes during transurethral resection or enucleation of the prostate: results from the GRAND study - Scorecard - MDSpire

Hospital caseload thresholds for improved perioperative outcomes during transurethral resection or enucleation of the prostate: results from the GRAND study

  • By

  • Nikolaos Pyrgidis

  • Gerald Bastian Schulz

  • Philipp Weinhold

  • Yannic Volz

  • Michael Atzler

  • Leo Federico Stadelmeier

  • Iason Papadopoulos

  • Christian Stief

  • Julian Marcon

  • Patrick Keller

  • June 25, 2026

  • 0 min

Share

Clinical Scorecard: Impact of Hospital Volume on Perioperative Outcomes in Transurethral Prostate Procedures: Findings from the GRAND Study

At a Glance

CategoryDetail
ConditionBenign Prostatic Hyperplasia (BPH)
Key MechanismsIncreased hospital volume is associated with improved perioperative outcomes.
Target PopulationMen undergoing surgical intervention for BPH.
Care SettingInpatient surgical settings.

Key Highlights

  • TURP remains the gold standard surgical therapy for BPH.
  • Higher hospital volumes correlate with reduced perioperative morbidity.
  • Enucleation procedures (HoLEP, ThuLEP) are gaining prominence but have a steeper learning curve.
  • Significant perioperative complications include incontinence, ICU admissions, and sepsis.
  • Annual hospital volume thresholds identified for TURP to improve outcomes.

Guideline-Based Recommendations

Diagnosis

  • Utilize ICD-10-GM codes for diagnosis and perioperative outcomes.

Management

  • Consider annual hospital volume when planning BPH surgical interventions.

Monitoring & Follow-up

  • Track perioperative outcomes such as incontinence, ICU admissions, and length of stay.

Risks

  • Be aware of the increased risk of complications in lower volume hospitals.

Patient & Prescribing Data

Men with symptomatic BPH requiring surgical intervention.

Surgical options include TURP, simple prostatectomy, HoLEP, and ThuLEP.

Clinical Best Practices

  • Centralize BPH surgeries in high-volume centers to improve outcomes.
  • Ensure surgical teams are experienced in the chosen procedure.

Related Resources & Content

Original Source(s)

Hospital caseload thresholds for improved perioperative outcomes during transurethral resection or enucleation of the prostate: results from the GRAND study

  • by Nikolaos Pyrgidis, Gerald Bastian Schulz, Philipp Weinhold, Yannic Volz, Michael Atzler, Leo Federico Stadelmeier, Iason Papadopoulos, Christian Stief, Julian Marcon, Patrick Keller

  • June 25, 2026

Related Content

Real-world 24-month pain outcomes of disk percutaneous ablation and extraction versus Disc-FX nucleoplasty for lumbar discogenic pain and contained lumbar disk herniation: a single-center retrospective cohort study

A giant retropharyngeal space lipoma: a case report and review of the literature

Venoarterial extracorporeal membrane oxygenation in adults with cardiogenic shock