Changing Paradigms: Green Laser Vaporization for Prostates over 80 mL: A Comparative Study
| Autor: | Laura Zuluaga, Martín Rondón, Catalina Barco-Castillo, Alejandra Bravo-Balado, Juan Ignacio Caicedo, Carlos Gustavo Trujillo, Mauricio Plata |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Visual analogue scale Urology Prostatic Hyperplasia 030232 urology & nephrology Single Center 03 medical and health sciences 0302 clinical medicine Patient satisfaction Quality of life Prostate medicine Humans Retrospective Studies business.industry Green laser Transurethral Resection of Prostate Prostatic enlargement Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Cohort Quality of Life Laser Therapy business |
| Zdroj: | Journal of Endourology. 35:1665-1670 |
| ISSN: | 1557-900X 0892-7790 |
| DOI: | 10.1089/end.2020.1085 |
| Popis: | Introduction and objectives Benign prostatic enlargement (BPE) and big prostates are common. Photovaporization of the prostate (PVP) with Greenlight™ laser 180 W XPS, is considered a standard therapy for prostates smaller than 80 mL and an alternative for the treatment of bigger ones in selected cases. The aim of this study is to evaluate efficacy, safety and functional outcomes of PVP among patients with prostates over and under 80 mL. Methods A cohort of 840 patients with BPE who underwent PVP with Greenlight™ laser between 2012-2019 in a single center was evaluated. Groups were stratified according to prostate volume, to less and greater than 80 mL(Groups 1 and 2 respectively). The primary outcomes were efficacy (PSA drop, improvement of IPSS and quality of life) and variables regarding safety of the procedure. Peri and postoperative outcomes were analyzed. Complications were assessed according to Clavien-Dindo classification. Overall patient satisfaction was evaluated with visual analogue scale. Results Preoperative variables showed no statistical difference among groups. Mean follow up was 47 [IQR=26-70]months. Longer operative time and a higher energy use was seen in bigger prostates(p Conclusions GreenLight PVP is a safe and effective procedure in prostates ≥80 mL. It shows the same advantages demonstrated for those under that volume, particularly short hospital stay and catheterization time. Surgeons experience is important to avoid complications, such as conversion and transfusion. PVP should be considered a first line alternative for the treatment of bigger prostates. |
| Databáze: | OpenAIRE |
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