180-W XPS GreenLight laser vaporization for benign prostate hyperplasia: 12-month safety and efficacy results for glands larger than 80 ml

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dc.authorid0000-0002-6676-9205
dc.authorid0000-0001-9988-2944
dc.authorid0000-0002-0159-2090
dc.authorid0000-0002-4245-7506
dc.contributor.authorAltay, Bülent
dc.contributor.authorErkurt, Bülent
dc.contributor.authorKiremit, Murat Can
dc.contributor.authorGüzelburç, Vahit
dc.contributor.authorBoz, Mustafa Yücel
dc.contributor.authorAlbayrak, Selami
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:01:38Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:01:38Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.descriptionWOS: 000348297900042
dc.descriptionPubMed ID: 25274195
dc.description.abstractThe purpose of the current study was to evaluate the efficacy and safety of laser prostatectomy by using the latest 180-W XPS GreenLight laser with the new MoXy fiber in the surgical treatment of glands larger than 80 mL in a prospective study. From December 2011 to May 2013, 68 consecutive patients with a mean age of 71.1 +/- 9.8 years (range 49 to 85) underwent 180-W XPS laser prostatectomy at our institution. The baseline characteristics, perioperative data, and complications were recorded. Evaluation of outcomes was assessed at 3, 6, and 12 months postoperatively comparing subjective (International Prostate Symptom Score [IPSS], International Index of Erectile Function-5 [IIEF-5]) and objective (Maximal flow rate [Q(max)], postvoid residual urine [PVR], transrectal ultrasound [TRUS] volume) parameters to the preoperative data. Mean preoperative prostate volume was 104.3 +/- 29.7 mL (range 81 to 185). Mean operation time was 65.5 +/- 29.6 min (range 38 to 124), with a mean energy delivery of 398 +/- 169 kJ (range 39 to 523). The catheterization time was 20.8 +/- 1.9 h (range 6 to 92) and the hospital stay was 27.3 +/- 8.7 h (range 12 to 80). No major intraoperative complications were observed. Improvement in IPSS, Q(max), and PVR was statistically significant (p < 0.001) at 3, 6, and 12 months. Urethral strictures were observed in two patients (2.9 %). No patients required reintervention due to residual adenoma. The average volume reduction was 40.5 % at 12 months. Photoselective vaporization of the prostate (PVP) using the new 180-W XPS GreenLight laser system seems to be a safe and effective procedure and could play an important role in the surgical treatment of symptomatic benign prostatic hyperplasia (BPH) patients with larger prostate volumes.
dc.identifier.citationAltay, B., Erkurt, B., Kiremit, M. C., Güzelburç, V., Boz, M. Y. ve Albayrak, S. (2015). 180-W XPS GreenLight laser vaporization for benign prostate hyperplasia: 12-month safety and efficacy results for glands larger than 80 ml. Lasers in Medical Science, 30(1), 317-323. https://dx.doi.org/10.1007/s10103-014-1667-4
dc.identifier.doi10.1007/s10103-014-1667-4
dc.identifier.endpage323
dc.identifier.issn0268-8921
dc.identifier.issn1435-604X
dc.identifier.issue1
dc.identifier.scopusqualityQ1
dc.identifier.startpage317
dc.identifier.urihttps://dx.doi.org/10.1007/s10103-014-1667-4
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3377
dc.identifier.volume30
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer London
dc.relation.ispartofLasers in Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPhotoselective Vaporization of Prostate
dc.subjectBenign Prostatic Hyperplasia
dc.subjectGreenLight
dc.subjectNd:YAG Laser
dc.title180-W XPS GreenLight laser vaporization for benign prostate hyperplasia: 12-month safety and efficacy results for glands larger than 80 ml
dc.typeArticle

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