| Autor: |
Benejam Gual J; Servicio de Urología. Fundación Hospital de Manacor. Manacor. Mallorca. España., Servera Ruiz de Velasco A; Servicio de Urología. Fundación Hospital de Manacor. Manacor. Mallorca. España., Hernández Martínez Y; Servicio de Urología. Fundación Hospital de Manacor. Manacor. Mallorca. España., García-Miralles Grávalos R; Servicio de Urología. Fundación Hospital de Manacor. Manacor. Mallorca. España. |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Archivos espanoles de urologia [Arch Esp Urol] 2020 Oct; Vol. 73 (8), pp. 675-681. |
| Abstrakt: |
Greenlight laser prostate vaporization is considered a valid alternative to transurethral prostate resection (TURP) for patient with LUTS due to BPH. The current review highlights the current evidence on greenlight technique and current state of-the-art. We will review clinically relevant concerns such as size limitation, economic issues and same-day surgery options. We will also describe technological improvements overtime and its relationship with current vaporization practices.CURRENT SITUATION: Based on clinical trial Goliath, Greenlight 180W vaporization showed non-inferiority to TURP and similar mid-term functional outcomes. A benefit towards length of hospital stay, similar complication rate (below 80% at 2 years). The current laser generators (higher potency) are able to provide an ablative effect on tissue that is associated to a shorter operative time. The major advantage of greenlight laser is the same day discharge, with a low readmission rates. Greenlightlaser is more cost-effective than TURP. CONCLUSIONS: Green light laser remains as an alternativevalid option despite the technological improvementsin the field. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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