Reasons to believe in vaporization: a review of the benefits of photo-selective and transurethral vaporization
| Autor: | Ahmed S. Zakaria, Adel Arezki, Iman Sadri, Hannes Cash, David-Dan Nguyen, Malte Rieken, Kevin C. Zorn, Dean Elterman, Félix Couture, Kyle W Law, Russell N Schwartz |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment 030232 urology & nephrology Prostatic Hyperplasia macromolecular substances urologic and male genital diseases Surgical methods 03 medical and health sciences 0302 clinical medicine Prostate Vaporization medicine Humans In patient Transurethral resection of the prostate Medical treatment business.industry technology industry and agriculture Transurethral Resection of Prostate Prostatic enlargement medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis Laser Therapy business |
| Zdroj: | World journal of urology. 39(7) |
| ISSN: | 1433-8726 |
| Popis: | In the current review, we will discuss the state of the literature of vaporization of the prostate for the treatment of benign prostatic enlargement (BPE). We discuss two methods of vaporization of the prostate: Transurethral Vaporization of the Prostate (TUVP) and Greenlight Photo-selective Vaporization of the Prostate (PVP). A comprehensive review of the literature was performed on TUVP and PVP. The literature on transurethral resection of the prostate (TURP) was also extensively reviewed as a comparative surgical method. The evidence shows that TUVP appears to be the safer choice, as compared to TURP due to less intra- and peri-operative complications. PVP was associated with less bleeding complications than TURP with outpatient discharge. Importantly, PVP was not associated with serious bleeding events requiring blood transfusions or medical treatment in patients under anticoagulation or antiplatelet therapies. PVP was also shown to be a cost-effective option compared to TURP. Prostate vaporization for the treatment of BPE appears to be an efficient and safer alternative to TURP. Vaporization techniques, particularly Greenlight PVP, should be offered to most men, especially those under anticoagulation therapy, as well as patients at risk of bleeding complications. |
| Databáze: | OpenAIRE |
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