Objective: Photoselective vaporization of the prostate (PVP) is becoming a surgical treatment alternative of transurethral resection of the prostate for male lower urinary tract symptoms (LUTS) secondary to benign prostatic obstruction (BPO). We evaluated the outcome and postoperative complications of PVP performed by 80-W KTP and 120-W HPS GreenLight lasers (AMS®) over a 4-year period.
Materials And Methods: This is a prospective monocentric study that included all patients who underwent PVP. They had routine follow-up at 1 month, 3 months, 6 months and every year until the fourth postoperative year. Listed data were maximum urinary flow rate (Qmax), International Prostate Symptom Score (IPSS), post-void residual (PVR) volume, prostate-specific antigen (PSA) and prostate volume. We collected the postoperative complications.
Results: From September 2005 to May 2008, 77 patients out of a 409 patients cohort underwent surgery and were followed during 4 years. At 4 years mean Qmax increase was 82.5%; mean IPSS, PVR volume, PSA and prostate volume decreases were 79.1, 69.8, 43.8 and 22.9%, respectively. The main side effects observed were storage LUTS. A urinary catheter was replaced after a first withdrawal failure in 10 patients (15.6%) after surgery.
Conclusions: PVP showed a sustainable efficacy and an appealing tolerance profile during a 4-year period in patients with LUTS secondary to BPO.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1159/000356991 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Comparative efficacy and safety of 180 W XPS . 120 W HPS GreenLight laser therapy for benign prostatic hyperplasia: a systematic review and meta-analysis.
PeerJ
December 2024
Department of Paediatric Surgery, Nanchong Central Hospital, Nanchong, Sichuan, China.
Article Synopsis
- - The study compares the effectiveness of 120 W HPS and 180 W XPS GreenLight laser systems for treating benign prostatic hyperplasia (BPH), revealing that the 180 W system has better operational efficiency and shorter catheterization times.
- - Eight studies were analyzed, showing that while both systems had similar functional outcomes regarding prostate symptoms and urinary flow, the 180 W system resulted in improved quality of life and lower rates of complications.
- - The findings suggest that the 180 W XPS laser is a more efficient and safer option for treating BPH, especially in larger prostates, and encourages further randomized trials to verify these results and investigate long-term effects.
[Outcome of Photoselective Vaporizaion of the Prostate with 180 W Greenlight XPS™ System for Treatment of Large Prostatic Hyperplasia of at Least 100 Ml].
Hinyokika Kiyo
January 2023
The Department of Urology, Nagoya Central Hospital.
We report the outcome of photoselective vaporizaion of the prostate (PVP) with the 180W GreenLight XPS™ system (180 W-XPS) for large benign prostatic hyperplasia (BPH) with a prostate volume of ≥100 ml, in comparison with that with the 120 W GreenLight HPS™ system (120 W-HPS). We studied the outcomes of 86 patients who underwent PVP with 180 W-XPS for BPH with a prostate volume of ≥100 ml between February 2019 and October 2021, in comparison with those of 86 patients who underwent PVP with 120 W-HPS. 180 W-XPS significantly improved postoperative international prostate specific score, quality of life score, overactive bladder symptom score, Qmax, and residual urine volume.
View Article and Find Full Text PDFComparison of 532-nm GreenLight HPS laser with 980-nm diode laser vaporization of the prostate in treating patients with lower urinary tract symptom secondary to benign prostatic hyperplasia: a meta-analysis.
Lasers Med Sci
December 2021
Department of Urology, Beijing TianTan Hospital, Capital Medical University, No.119 South 4th Ring West Road, Fengtai District, Beijing, 100070, China.
To evaluate the efficacy and safety of 532-nm GreenLight HPS laser (PVP) vs 980-nm diode laser vaporization of the prostate (DVP) in treating patients with lower urinary tract symptom (LUTS) secondary to benign prostatic hyperplasia (BPH). PubMed, Cochrane Library databases, EMBASE (until Jun 2020), and original references of the included articles were searched. PRISMA checklist was followed.
View Article and Find Full Text PDFGreenLight HPS laser 120 W vs diode laser 300 W vaporization of the prostate for the treatment of benign prostatic hyperplasia in Japanese patients: A prospective, single-center, randomized clinical trial.
Low Urin Tract Symptoms
January 2021
Department of Urology, Kyushu Central Hospital, Fukuoka, Japan.
Objectives: This study aimed to compare the safety and efficacy of laser vaporization with 532 nm GreenLight High Performance System (HPS) laser 120 W (PVP) and 980 nm diode laser 300 W (CVP) for the treatment of benign prostatic hyperplasia (BPH) in a prospective, single-center, randomized clinical trial.
Methods: A total of 153 consecutive patients with symptomatic BPH were included; 79 patients were treated with PVP and 74 with CVP. Patients were assessed preoperatively and at 3, 6, and 12 months postoperatively using the International Prostate Symptom Score, quality of life index, peak urinary flow rate, and postvoid residual urine volume.
Comparison of vaporization using 120-W GreenLight laser versus 2-micrometer continuous laser for treating benign prostatic hyperplasia: A 24-month follow-up study of a single center.
J Xray Sci Technol
August 2020
Department of Urology, the Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Article Synopsis
- The study compared the safety and effectiveness of two laser treatments—120-W HPS GreenLight KTP and 2-micrometer continuous-wave (CW)—for benign prostatic hyperplasia (BPH) in 414 patients.
- Both laser techniques successfully treated BPH with no major complications, and the improvement in symptoms and urinary function was significant and similar in both groups over 24 months.
- The 120-W KTP laser group had shorter average catheterization and hospitalization times, but a higher incidence of discomfort like dysuria and urge incontinence was noted in the 2-micrometer CW laser group.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!