Modified Vaporization-resection for Photoselective Vaporization of the Prostate Using a GreenLight High-performance System 120-W Laser: The Seoul Technique

Autor: Sun Ho Min, Min Soo Choo, Hwancheol Son, Yun Kwan Ro, Jung Kwon Kim, Chang Ju Lee
Rok vydání: 2011
Předmět:
Zdroj: Urology. 77:427-432
ISSN: 0090-4295
DOI: 10.1016/j.urology.2010.06.034
Popis: Objectives The most popular technique of photoselective vaporization of the prostate (PVP) for benign prostatic hyperplasia (BPH) involves vaporization only. We developed a modified vaporization-resection technique that consists of vaporizing a prostate along outlined margins and retrieving the wedge-shaped prostate tissue. We report the operative procedure and clinical outcomes of our technique with the GreenLight high performance system (HPS). Methods A total of 104 patients with a prostate volume greater than 40 mL who underwent PVP were included in this retrospective study. Forty patients were treated with the vaporization-only technique (Group non-S) and 64 patients with the Seoul technique (group S). The clinical outcomes were assessed at 1, 3, 6, and 12 months postoperatively using the International Prostate Symptom Score (IPSS), quality of life (QoL) score, maximum flow rate (Qmax.), and postvoid residual urine volume (PVR). Results The Qmax., PVR, IPSS, and QoL scores improved significantly from 1 to 12 months after the PVP compared with the baseline in both groups (P
Databáze: OpenAIRE