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Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations

PURPOSE: High-Performance System (HPS) laser photo vaporization of the prostate (PVP) is a widely used procedure nowadays. The safety and efficacy of the procedure has been affirmed in general patients with benign prostatic hyperplasia (BPH), but data on the safety and efficacy in specific situation...

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Autores principales: Choi, Yong Sun, Bae, Woong Jin, Kim, Su Jin, Kim, Kang Sup, Cho, Hyuk Jin, Hong, Sung-Hoo, Lee, Ji Youl, Hwang, Tae-Kon, Kim, Sae Woong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asian Pacific Prostate Society (APPS) 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3879055/
https://www.ncbi.nlm.nih.gov/pubmed/24392442
http://dx.doi.org/10.12954/PI.13030
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author Choi, Yong Sun
Bae, Woong Jin
Kim, Su Jin
Kim, Kang Sup
Cho, Hyuk Jin
Hong, Sung-Hoo
Lee, Ji Youl
Hwang, Tae-Kon
Kim, Sae Woong
author_facet Choi, Yong Sun
Bae, Woong Jin
Kim, Su Jin
Kim, Kang Sup
Cho, Hyuk Jin
Hong, Sung-Hoo
Lee, Ji Youl
Hwang, Tae-Kon
Kim, Sae Woong
author_sort Choi, Yong Sun
collection PubMed
description PURPOSE: High-Performance System (HPS) laser photo vaporization of the prostate (PVP) is a widely used procedure nowadays. The safety and efficacy of the procedure has been affirmed in general patients with benign prostatic hyperplasia (BPH), but data on the safety and efficacy in specific situations, such as in patients with a large prostate, patients taking anticoagulant or 5-alpha reductase inhibitor (5-ARI) medication, and patients with a history of acute urinary retention (AUR) or previous transurethral resection of the prostate (TURP), is lacking. We investigated the safety and efficacy of HPS laser PVP in these unique patient groups. METHODS: The study was conducted from March 2009 to February 2012 among patients for lower urinary tract symptoms. Patients in whom BPH was diagnosed and who were treated with 120-W HPS GreenLight PVP were selected. Patients were divided into groups of prostate size above and below 80, anticoagulant medication, 5-ARI medication, AUR history, and TURP history on the basis of the preoperative history and physical examination. RESULTS: A total of 533 patients observable for a follow-up period of more than 6 months were enrolled as the study population. The patients’ mean preoperative prostate size was 51.0±32.7 mL and their mean prostate-specific antigen was 4.5±27.9 ng/mL. The average operating time was 24.5±12.2 minutes and the average applied energy during surgery was 152,184±89,495 J. Postoperative objective and subjective parameters in all groups were significantly improved compared with preoperative values. CONCLUSIONS: Laser resection of the prostate is safe and effective. The results of HPS laser PVP were not influenced by prostate size, the use of anticoagulants, the intake of 5-ARI for BPH management, a history of AUR, a history of TURP, or other factors. Thus, this study was able to reconfirm the efficacy and safety of laser resection of the prostate.
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spelling pubmed-38790552014-01-03 Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations Choi, Yong Sun Bae, Woong Jin Kim, Su Jin Kim, Kang Sup Cho, Hyuk Jin Hong, Sung-Hoo Lee, Ji Youl Hwang, Tae-Kon Kim, Sae Woong Prostate Int Original Articles PURPOSE: High-Performance System (HPS) laser photo vaporization of the prostate (PVP) is a widely used procedure nowadays. The safety and efficacy of the procedure has been affirmed in general patients with benign prostatic hyperplasia (BPH), but data on the safety and efficacy in specific situations, such as in patients with a large prostate, patients taking anticoagulant or 5-alpha reductase inhibitor (5-ARI) medication, and patients with a history of acute urinary retention (AUR) or previous transurethral resection of the prostate (TURP), is lacking. We investigated the safety and efficacy of HPS laser PVP in these unique patient groups. METHODS: The study was conducted from March 2009 to February 2012 among patients for lower urinary tract symptoms. Patients in whom BPH was diagnosed and who were treated with 120-W HPS GreenLight PVP were selected. Patients were divided into groups of prostate size above and below 80, anticoagulant medication, 5-ARI medication, AUR history, and TURP history on the basis of the preoperative history and physical examination. RESULTS: A total of 533 patients observable for a follow-up period of more than 6 months were enrolled as the study population. The patients’ mean preoperative prostate size was 51.0±32.7 mL and their mean prostate-specific antigen was 4.5±27.9 ng/mL. The average operating time was 24.5±12.2 minutes and the average applied energy during surgery was 152,184±89,495 J. Postoperative objective and subjective parameters in all groups were significantly improved compared with preoperative values. CONCLUSIONS: Laser resection of the prostate is safe and effective. The results of HPS laser PVP were not influenced by prostate size, the use of anticoagulants, the intake of 5-ARI for BPH management, a history of AUR, a history of TURP, or other factors. Thus, this study was able to reconfirm the efficacy and safety of laser resection of the prostate. Asian Pacific Prostate Society (APPS) 2013 2013-12-30 /pmc/articles/PMC3879055/ /pubmed/24392442 http://dx.doi.org/10.12954/PI.13030 Text en Copyright © 2013 Asian Pacific Prostate Society (APPS) This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Choi, Yong Sun
Bae, Woong Jin
Kim, Su Jin
Kim, Kang Sup
Cho, Hyuk Jin
Hong, Sung-Hoo
Lee, Ji Youl
Hwang, Tae-Kon
Kim, Sae Woong
Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations
title Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations
title_full Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations
title_fullStr Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations
title_full_unstemmed Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations
title_short Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations
title_sort efficacy and safety of 120-w greenlight high-performance system laser photo vaporization of the prostate: 3-year results with specific considerations
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3879055/
https://www.ncbi.nlm.nih.gov/pubmed/24392442
http://dx.doi.org/10.12954/PI.13030
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