| Autor: |
Campobasso, Davide, Marchioni, Michele, Altieri, Vincenzo, Greco, Francesco, De Nunzio, Cosimo, Destefanis, Paolo, Ricciardulli, Stefano, Bergamaschi, Franco, Fasolis, Giuseppe, Varvello, Francesco, Voce, Salvatore, Palmieri, Fabiano, Divan, Claudio, Malossini, Gianni, Oriti, Rino, Tuccio, Agostino, Ruggera, Lorenzo, Tubaro, Andrea, Delicato, Giampaolo, Laganà, Antonino |
| Předmět: |
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| Zdroj: |
Journal of Endourology; Jan2020, Vol. 34 Issue 1, p54-62, 9p |
| Abstrakt: |
Introduction: GreenLight laser vaporization of the prostate (photoselective vaporization of the prostate [PVP]) is a safe and effective procedure for Benign Prostatic Hyperplasia. Long-term results and advantages of PVP in patients with large and symptomatic prostate are still under evaluation. Materials and Methods: In a multicenter experience, patients who underwent standard or anatomical PVP were retrospectively reviewed. Patients with follow-up >12 months were divided into two groups based on prostate volume (<100 cc vs ≥100 cc). Pre- and perioperative data, as well as postoperative results and complications, were recorded after 3, 6, and 12 months and then annually. Results: One thousand and thirty-one patients were eligible, 916 of these had a prostate volume of <100 cc and 115 ≥ 100 cc. Median follow-up period was 25.0 months (interquartile range [IQR] 16.5–35.0) and 16.0 months (IQR 12.0–24.0) in ≥100 and <100 groups, respectively. No difference was found in terms of catheterization time, postoperative stay, and postoperative acute urine retention. Patients with prostate ≥100 required longer operative time (75 vs 55 minutes), lasing time (41.7 vs 24.9 minutes), and higher energy used but lower energy density. Patients with prostate ≥100 had a higher incidence of early (50.4% vs 35.7%) and late complications (21.7% vs 12.8%) and early urge/incontinence symptoms (40.9% vs 29.3%). No statistically significant differences were found for the maximum urinary flow (Qmax) and International Prostate Symptom Score (IPSS) results between the two groups. The reintervention rate in ≥100 group was 3.5% vs 2.3% in <100. Conclusions: In the midterm follow-up, GreenLight PVP guarantees the same results in different prostate volume groups. Early and late complications are more frequent in large prostates. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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