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Green Light photoselective vaporization of the prostate: a safe and effective treatment for elderly high-risk benign prostate hyperplasia patients with gland over 80 ml

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Abstract

To analyze the efficacy of Green Light photoselective vaporization of the prostate (PVP) in elderly high-risk benign prostatic hyperplasia (BPH) patients with glands over 80 ml. From December 2013 to February 2016, we allocated 84 elderly (age 71–97) high-risk patients who underwent preoperative transrectal ultrasound (TRUS) examination with glands over 80 ml and divided them into two groups to receive 120 W (n = 40) and 180 W (n = 44) PVP. All the patients have been observed at least one intraoperative comorbidity: hypertension, diabetes mellitus, NYHA II, or combined. They were followed up for 12 months. All the conventional parameters were compared in this study. All the patients received successful operations without severe complications, and no patient needed blood transfusion. The operation time and catheterization time of the 180 W patients were significantly shorter than that of the 120 W patients (p < 0.05). The International Prostate Symptom Scores (IPSS), quality of life (QoL) scores, maximum flow rate (Qmax), and residual urine volume (RUV) in both groups have been significantly improved. PVP is safe and effective for high-risk aging patients with gland over 80 ml. In addition, 180 W XPS system has a short operation time and catheterization time and less inflammatory response.

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Author notes

  1. Jie Sun and An Shi contributed equally to this work.

Authors and Affiliations

  1. Shanghai, China

    Jie Sun

  2. Department of Urology, RenJi Hospital affiliated to Shanghai Jiao Tong University Medical School, Shanghai, 200127, China

    Jie Sun, An Shi, Zhen Tong & Chenfei Chi

Authors
  1. Jie Sun
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  2. An Shi
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  3. Zhen Tong
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  4. Chenfei Chi
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All patients have signed informed consent documents and agreed to receive the treatment. This study has been proved by the Ethics Committee of our hospital.

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The authors declare that they have no conflict of interest.

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Sun, J., Shi, A., Tong, Z. et al. Green Light photoselective vaporization of the prostate: a safe and effective treatment for elderly high-risk benign prostate hyperplasia patients with gland over 80 ml. Lasers Med Sci 33, 1693–1698 (2018). https://doi.org/10.1007/s10103-018-2521-x

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  • DOI: https://doi.org/10.1007/s10103-018-2521-x

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