Direct comparison of Green Light Laser XPS Photoselective Vaporization of the Prostate (PVP) and Green Laser En Bloc enucleation of the prostate (GreenLEP) in enlarged glands > 80 ml: A study of 120 patients

To compare patient outcomes after 180 W XPS Greenlight photoselective vaporization of the prostate (PVP) and Green laser enucleation of the prostate (GreenLEP) used to surgically manage benign prostatic obstruction (BPO).

Two groups of 60 consecutive patients with enlarged glands (>80 mL) underwent either GreenLEP or PVP (performed by the same surgeon and including his learning curve) and were retrospectively evaluated. Perioperative data from both groups were compared.

Operative time was significantly shorter in the GreenLEP group (60 vs 82 min, p

PVP and GreenLEP were safe and provided satisfactory short-term functional outcomes in patients with a prostate volume over 80 mL. However, the surgical time was longer in the PVP group, which also had a higher rate of unplanned readmission and lower decreases in the PSA level and prostate size.

The Journal of urology. 2015 Oct 17 [Epub ahead of print]

Vincent Misrai, Sebastien Kerever, Veronique Phe, Kevin C Zorn, Benoit Peyronnet, Morgan Rouprêt

Department of Urology, Clinique Pasteur, Toulouse, France. Department of Anaesthesiology and Critical Care, Lariboisière University Hospital, AP-HP, Paris, France ECSTRA Team, CRESS, Epidemiology and Statistics Center, Sorbonne Paris Cité, UMR 1153, INSERM, Paris, France, University Denis Diderot - Paris VII, Paris, France. , Academic Department of Urology, La Pitié-Salpetrière Hospital, Assistance Publique-Hôpitaux de Paris, Faculté de Médecine Pierre et Marie Curie, University Paris 6, Paris, France. , Section of Urology, Department of Surgery, University of Montreal Hospital Center, Université de Montréal, Montreal, Quebec, Canada. , Department of Urology, CHU Rennes, Rennes, France. , Academic Department of Urology, La Pitié-Salpetrière Hospital, Assistance Publique-Hôpitaux de Paris, Faculté de Médecine Pierre et Marie Curie, University Paris 6, Paris, France.

PubMed

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