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Yasushi Yamada, Jun Furusawa, Yoshiki Sugimura, Isao Kuromastu
PURPOSE: To evaluate the long-term outcomes and safety photoselective vaporization of the prostate (PVP). PATIENTS AND METHODS: From April 2005 to December 2015, a total of 1154 patients with benign prostatic hyperplasia (BPH) underwent PVP. The type of Green Light laser was an 80W potassium-titanyl-phosphate (KTP) laser and later a 120W lithium triborate (LBO) laser. Before and after surgery, the International Prostate Symptom Score (IPSS), maximum urinary flow rate (Qmax), post-void residual volume (PVR), prostate-specific antigen (PSA) level and prostate volume were assessed regularly...
October 12, 2016: Journal of Endourology
F Bruyère
No abstract text is available yet for this article.
October 3, 2016: Progrès en Urologie
Dong Hyuk Kang, Kang Su Cho, Won Sik Ham, Young Deuk Choi, Joo Yong Lee
PURPOSE: To perform a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing monopolar transurethral resection of the prostate (MTURP) and photoselective vaporization of the prostate (PVP) in order to provide the most up-to-date and reliable recommendations possible. MATERIALS AND METHODS: Relevant RCTs were identified from electronic databases for meta-analysis of the surgical outcomes and complications of MTURP and PVP. Meta-analytical comparisons were made using qualitative and quantitative syntheses...
August 2016: World Journal of Men's Health
M Salameh, F Gerbaud, A Daché, J-F Hermieu, S Dominique, V Hupertan, V Ravery, I Ouzaid
BACKGROUND AND OBJECTIVES: Our objective was to describe the progressive introduction of photoselective vaporization of the prostate (PVP) in an academic department of urology in an outpatient care setting and report our outcomes after the first 100 cases. PATIENTS AND METHODS: Since May 2014, XPS GreenLight™ (Boston Scientific-AMS, USA) PVP in the treatment of benign prostatic hyperplasia was introduced in our department. A prospective local registry was opened to collect patients' demographics, preoperative characteristics and surgical outcomes including operative time, length of stay, catheterization time, and postoperative complications as well as functional outcomes...
August 24, 2016: Progrès en Urologie
Lianjun Li, Bo Hu, Muwen Wang, Peng Sun, Xunbo Jin
Although the photoselective vaporization of the prostate has been considered one of the most promising alternatives for treatment of benign prostatic hyperplasia (BPH), published clinical data with the surgical technology of straight beam lithium triborate laser (LBO) is still lacking. To evaluate the technical improvement and initial experience of the 160-W straight beam LBO laser photoselective vaporesection of the prostate (PVRP) for the surgical treatment of BPH. From September 2012 to September 2014, including a 12-month follow-up, a prospective randomized study was performed...
2016: SpringerPlus
Niraj Kumar, Pawan Vasudeva, Anup Kumar, Harbinder Singh, Ashmika Sinha
BACKGROUND: To compare short-term efficacy and safety of channel photoselective vaporization of prostate (PVP) and channel transurethral resection of prostate (TURP) in patients with bladder outlet obstruction (BOO) secondary to advanced carcinoma prostate. METHODS: This prospective, non-randomized comparative study was conducted between April 2012 and December 2014. Patients with locally advanced/metastatic carcinoma prostate, who underwent either channel PVP or channel TURP for troublesome LUTS/ acute retention of urine were included in the study...
August 2016: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
Bo Hu, Zhenyu Song, Hui Liu, Liang Qiao, Yong Zhao, Muwen Wang, Wei Song, Dong Zhang, Xunbo Jin, Haiyang Zhang
Bladder neck contracture (BNC) after GreenLight laser photoselective vaporization (PVP) of benign prostatic hyperplasia is a common complication. In the present study, data of patients received 80 or 180 W PVP were collected. Perioperative parameters, including applied energy, irradiation time, catheter removal time, and hospital stay, were recorded. Postoperative parameters, including maximum urinary flow rate, International Prostate Symptom Score, post-void residual volume, and incidences of BNC, were recorded at 3 and 12 months after operations...
June 30, 2016: Lasers in Medical Science
Xiao-Nan Mu, Si-Jun Wang, Ji Chen, Xun-Bo Jin, Zhong-Xian Huang, Long-Yang Zhang
No abstract text is available yet for this article.
June 17, 2016: Asian Journal of Andrology
Zhuo Li, Ping Chen, Jun Wang, Qi Mao, Han Xiang, Xiao Wang, Xinghuan Wang, Xinhua Zhang
Lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia (BPH) is common in adult men and can impair erectile function (EF). It was believed surgical treatments for this illness can improve EF due to the relief of LUTS while they were also reported harmed EF as heating or injury effect. Current network meta-analysis aimed to elucidate this discrepancy.Randomized controlled trials (RCTs) were identified. Direct comparisons were conducted by STATA and network meta-analysis was conducted by Generate Mixed Treatment Comparison...
June 2016: Medicine (Baltimore)
Thorsten Bach, Felix Wölbling, Andreas J Gross, C Netsch, S Tauber, Tobias Pottek, Christian Wülfing, Claus Brunken
PURPOSE: TUR-prostate (TUR-P) is considered the reference method for surgical treatment of benign prostatic obstruction (BPO); Greenlight laser photoselective vaporization (PVP) and thulium laser vapoenucleation (ThuVEP) have also been established as treatments of BPO. Objective of this prospective observation was to compare a large numbers of patients treated in everyday routine. METHODS: This prospective multicentre data collection assesses morbidity and perioperative course of consecutive men treated with BPO-related transurethral surgery between 2011 and 2014 in a German metropolis area with TUR-P, PVP or ThuVEP...
June 4, 2016: World Journal of Urology
Kang Sup Kim, Jin Bong Choi, Woong Jin Bae, Su Jin Kim, Hyuk Jin Cho, Sung-Hoo Hong, Ji Youl Lee, Sang Hoon Kim, Hyun Woo Kim, Su Yeon Cho, Sae Woong Kim
OBJECTIVE: Photoselective vaporization of the prostate (PVP) using GreenLight and Holmium laser enucleation of the prostate (HoLEP) is an important surgical technique for management of benign prostate hyperplasia (BPH). We aimed to compare the effectiveness and safety of PVP using a 120 W GreenLight laser with HoLEP in a small prostate volume. METHODS: Patients who underwent PVP or HoLEP surgery for BPH at our institutions were reviewed from May 2009 to December 2014 in this retrospective study...
2016: PloS One
Yasser A Noureldin, Mohamed A Elkoushy, Mehdi Aloosh, Serge Carrier, Mostafa M Elhilali, Sero Andonian
INTRODUCTION AND OBJECTIVES: Photoselective vaporization of the prostate (PVP) is a frequently performed procedure by postgraduate trainees (PGTs). However, there is no PVP-specific objective assessment tool to evaluate the acquisition of PVP skills. The aim of the present study was to develop and validate an objective structured assessment of technical skills tool for the PVP procedure (PVP-OSATS). METHODS: This study was conducted in two phases. Phase I included the development of PVP-OSATS and assessment of its reliability and construct validity...
August 2016: Journal of Endourology
Dong Yeub Ham, Woo Suk Choi, Sang Hoon Song, Young-Joon Ahn, Hyoung Keun Park, Hyeong Gon Kim, Hwancheol Son
PURPOSE: The aim of this study was to evaluate the efficacy of a multimedia informed consent (IC) presentation on the understanding and satisfaction of patients who were scheduled to receive 120-W green-light high-performance system photoselective vaporization of the prostate (HPS-PVP). MATERIALS AND METHODS: A multimedia IC (M-IC) presentation for HPS-PVP was developed. Forty men with benign prostatic hyperplasia who were scheduled to undergo HPS-PVP were prospectively randomized to a conventional written IC group (W-IC group, n=20) or the M-IC group (n=20)...
April 2016: World Journal of Men's Health
Niraj Kumar, Pawan Vasudeva, Anup Kumar, Harbinder Singh
OBJECTIVES: To assess durability of efficacy of monopolar transurethral resection of the prostate (TURP), bipolar TURP, and photoselective vaporization of the prostate (PVP) using 120W Green light laser at 36 months follow up. METHOD: The 186 patients who presented with benign prostatic obstruction and planned for surgery were randomized into three groups: Group A - monopolar TURP; group B - bipolar TURP; and group C - PVP. International Prostate Symptom Score (IPSS), International Index of Erectile Function-5 (IIEF-5) score, quality of life (QoL) score, maximum flow rate (Qmax), prostate volume and postvoid residual urine (PVRU) were analyzed up to 36 months follow up...
May 11, 2016: Lower Urinary Tract Symptoms
Fotini Fligou, Panagiotis Kallidonis, Nicolaos Flaris, Abdulrahman Al-Aown, Iason Kyriazis, Marinos Vasilas, Vasilis Panagopoulos, Petros Perimenis, Evangelos Liatsikos, Theofanis Vrettos
INTRODUCTION: Evaluation of ketamine and propofol combination for the performance of photoselective vaporization of prostate (PVP). PATIENTS AND METHODS: Twenty-six patients undergoing PVP for benign prostatic hyperplasia were included in the study. Co-morbidities were present in 24 patients. Midazolam 2 mg intravenous was administered for the induction to anesthesia. Propofol (10 mg/ml) and ketamine (1 mg/ml) were administered with the use of two pumps. An initial bolus dose of 0...
April 2016: Urology Annals
Ionel Valentin Popeneciu, Gencay Hatiboglu, Timur Hassan Kuru, Sandra Milakovic, Gerald Freier, Boris Hadaschik, Markus Hohenfellner, Sascha Pahernik
OBJECTIVE: The aim of this retrospective cohort study was to investigate long-term risk factors for reintervention after photoselective vaporization of the prostate (PVP). MATERIAL AND METHODS: In total, 566 consecutive patients with benign prostatic hyperplasia (BPH) underwent PVP between February 2005 and April 2011. Mean follow-up was 36.42 ± 21.4 months. Perioperative parameters were evaluated, including surgery time, delivered energy, catheterization and duration of hospitalization, intraoperative and postoperative complications, as well as reintervention rates in manifest reobstruction...
August 2016: Scandinavian Journal of Urology
Markus Porsch, Paul Mittelstädt, Johann Jakob Wendler, Daniel Baumunk, Kirsten Fichtler, Andreas Janitzky, Anke Lux, Uwe-Bernd Liehr, Martin Schostak
INTRODUCTION: Transurethral resection risks excessive absorption of irrigating fluid with potentially severe or life-threatening consequences. We determined the amount of absorbed saline irrigation fluid during photoselective vaporisation of the prostate (PVP) and bipolar transurethral resection of the prostate (bTURP). PATIENTS AND METHODS: Patients at our institution treated by one of these methods were monitored by the alcometric method: ethanol is added to the irrigation fluid and blood alcohol is measured with a breathalyser...
April 19, 2016: Urologia Internationalis
Kang Sup Kim, Jin Bong Choi, Woong Jin Bae, Su Jin Kim, Hyuk Jin Cho, Sung-Hoo Hong, Ji Youl Lee, Sae Woong Kim, Dong-Seok Han
OBJECTIVE: We investigated risk factors in a large cohort of patients who underwent reoperation after photoselective vaporization of the prostate using the 120 W GreenLight High Performance System laser for treatment of benign prostatic hyperplasia. BACKGROUND DATA: Complications such as recurrent/residual adenoma, urethral stricture, or bladder neck might occur after photoselective vaporization of the prostate for treatment of benign prostatic hyperplasia. MATERIALS AND METHODS: We reviewed the data of 1040 patients who underwent photoselective vaporization of the prostate between April 2009 and December 2014, and analyzed the clinical data of 630 patients who completed >12 months of follow-up...
March 2016: Photomedicine and Laser Surgery
Min Chul Cho, Seung Beom Ha, Juhyun Park, Hwancheol Son, Seung-June Oh, Soo Woong Kim, Jae-Seung Paick
OBJECTIVE: To evaluate impacts of preoperative detrusor underactivity (DU) on outcomes of photoselective vaporization of the prostate (PVP) or holmium laser enucleation of the prostate (HoLEP) for benign prostatic hyperplasia, and to compare them between the two surgeries. MATERIALS AND METHODS: A total of 1423 men, who underwent PVP (group A) or HoLEP (group B), were categorized into four groups: A1 (239 without DU), A2 (432 with DU), B1 (329 without DU), and B2 (423 with DU)...
May 2016: Urology
B Pradere, B Peyronnet, G Leonard, V Misrai, F Bruyère
INTRODUCTION: Photovaporization of the prostate by the Greenlight(®) laser (GL) has been strongly developed this past few years in France, representing nearly 30% of surgery for BPH, making France the second GL user worldwide after USA. The objective of this study was to assess the French surgeons practices with the Greenlight(®) laser. MATERIAL AND METHODS: During the 4th meeting of French Greenlight(®) users group (GUGL), was proposed a questionnaire on the management of patients and the GL technique...
March 2016: Progrès en Urologie
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