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- Title
Photoselective Vaporization of the Prostate with GreenLight HPS 120-W Laser for Benign Prostatic Hyperplasia: 36 Months' Follow-Up.
- Authors
Yachen Zang; Boxin Xue; Yuanyuan Zhang; Dongrong Yang; Jie Gao; Chuanyang Sun; Yong Cui; Wei Tao; Dong Chen; Yuxi Shan
- Abstract
Objective: To evaluate the 3-year clinical outcomes and du-rability of photoselective vaporization of the prostate (PVP) with the GreenLight HPS laser in the treatment of symptom-atic and obstructive benign prostatic hyperplasia (BPH). Methods: A total of 78 patients underwent PVP with the GreenLight HPS laser from October 2007 to November 2008. The baseline and treatment outcomes after surgery were evaluated 3 years later with the International Prostate Symp-tom Score (IPSS), quality of life (QoL), maximum flow rate (Qmax)/ postvoid residual rate (PVR), and transrectal ultra-sound-determined prostate volume. These parameters were assessed at 1, 3, 6, 12, 24, and 36 months. Results: Patients' urinary symptoms and QoL significantly improved after sur-gery. The functional outcomes showed immediate and sta-ble improvements during the entire follow-up period. At 36 months, the average percentage of improvements com-pared with baseline was as follows: IPSS, 60.2%; QoL, 80.9%; Qmax, 138.7%, and PVR, 82.6%. The median prostate volume, evaluated by transrectal ultrasonography, showed a 50.4% reduction when compared to preoperative volume. Overall, complications from surgery were low; only 6.7% of the 75 patients required reoperation during the 3-year follow-up. Conclusion: PVP using the GreenLight HPS laser showed a safe and effective treatment outcome for the treatment of symptomatic and obstructive BPH.
- Subjects
HYPERPLASIA treatment; BENIGN prostatic hyperplasia; PROSTATE surgery; LASER surgery; QUALITY of life; FOLLOW-up studies (Medicine); HEALTH outcome assessment
- Publication
Urologia Internationalis, 2012, Vol 89, Issue 2, p203
- ISSN
0042-1138
- Publication type
Article
- DOI
10.1159/000339608