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Combination of 180-W GreenLight XPS laser and bipolar transurethral resection of prostate for the treatment of large prostates beyond 100 ml: a novel hybrid technique

  • Urology - Original Paper
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Abstract

Background and objectives

The aim of this study was to evaluate the safety and efficacy of the 180-W GreenLight laser (GL) XPS™ plus bipolar transurethral resection of the prostate (TURP) for the treatment of a prostate volume (PV) beyond 100 ml.

Study design/materials and methods

From January 2014 to December 2022, 79 patients with PV > 100 ml who underwent GL-XPS plus bipolar TURP were enrolled. The median follow-up time was 13.7 months. The International Prostate Symptom Score (IPSS), PV, uroflow study, post-void residual (PVR) volume, and prostate-specific antigen (PSA) before and after the operation were recorded. Subgroup analysis was performed to compare the outcomes between the patients with follow-up times of < 36 months and > 36 months.

Results

Statistically significant improvements in all the postoperative parameters were observed in both < 36 months and > 36 months groups. There was no blood transfusion or transurethral resection (TUR) syndrome in this series. Most of all, a second TURP was unnecessary during the follow-up. Only one (1.3%) Clavien–Dindo grade 3b complication was noted.

Conclusions

The hybrid technique of 180-W XPS™ GreenLight laser plus bipolar TURP can be safely and efficiently performed on patients with a prostate volume of > 100 ml.

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Authors and Affiliations

  1. Divisions of Urology, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan

    Mu-Yao Tsai, Chien-Hsu Chen & Ping-Chia Chiang

  2. Jhong Siao Urological Hospital, Kaohsiung, Taiwan

    Po-Hui Chiang

Authors
  1. Mu-Yao Tsai
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  2. Chien-Hsu Chen
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  4. Ping-Chia Chiang
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Correspondence to Ping-Chia Chiang.

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Tsai, MY., Chen, CH., Chiang, PH. et al. Combination of 180-W GreenLight XPS laser and bipolar transurethral resection of prostate for the treatment of large prostates beyond 100 ml: a novel hybrid technique. Int Urol Nephrol 55, 2741–2746 (2023). https://doi.org/10.1007/s11255-023-03723-w

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  • DOI: https://doi.org/10.1007/s11255-023-03723-w

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