MRI assessment of tissue effects after 180‐W XPS greenlight laser vaporization of the prostate

Huët, Romain; Mathiéu, Romain; Rohou, Tanguy; Peyronnet, B.; Manunta, A.; Verhoest, G.; Bensalah, Karim; Vincendeau, S.

doi:10.1002/lsm.22629

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…Vaporization, commonly referred as photoselective vaporization of the prostate (PVP) in the literature, refers to the creation of a channel through the prostatic TZ 3 ( Table 1). Vaporization debulks the prostate by delivering high energy via a 532 nm laser beam that vaporizes the prostate adenoma (Fig.…”

Section: Vaporizationmentioning

confidence: 99%

Standardization of 532 nm Laser Terminology for Surgery in Benign Prostatic Hyperplasia: A Systematic Review

Stoddard

Zorn

Cash

et al. 2020

Journal of Endourology

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Introduction: The use of GreenLightÔ laser technology to remove the prostatic transitional zone transurethrally has grown considerably in recent years. This increased utilization has resulted in an increase in the number of terms that are used to describe various laser techniques. Variable terminology complicates literature analysis and publication, which can cause confusion when performing reviews and comparisons of the techniques in the available literature. It has therefore become necessary to simplify and standardize terminology used to describe transurethral prostate debulking procedures using the 532 nm laser to simplify communication on these techniques. Materials and Methods: We conducted a search on September 17, 2019, in the following databases: Ovid MEDLINE Ò , Ovid EMBASE, and PubMed. Results: Of the 1115 unique records found in our database search, a total of 27 articles were selected for inclusion. Of the 16 search terms used, we found that 4 terms could be used to describe the fundamental technique associated with each search term. These terms include ''vaporization,'' ''vaporesection,'' ''vapoenucleation,'' and ''enucleation.'' Conclusions: Standardizing terminology leads to an efficient consolidation of terms based on the above outcomes. This will streamline the literature search process for future publications and facilitate comparison of varying techniques.

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Section: Vaporizationmentioning

confidence: 99%

Standardization of 532 nm Laser Terminology for Surgery in Benign Prostatic Hyperplasia: A Systematic Review

Stoddard

Zorn

Cash

et al. 2020

Journal of Endourology

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“…Then, lateral lobes were removed using an energy setting of 80 to 140W towards the surgical capsule. The surgical objective was a widely open prostate cavity based with concomitant TRUS of the prostate during our initial experience [14].…”

Section: Interventionsmentioning

confidence: 99%

“…Mean total energy delivered in the PVP group was 4.42 KJ/gram (4.2-4.6). Mean enucleation and morcellation times were 54 min (95%CI: 40-60) and 14 min (11)(12)(13)(14)(15)(16)(17), accounting for 63% and 16% of total operative time, respectively. Mean prostate tissue enucleated was 75.1±38.7 grams according to final pathology.…”

Section: Perioperative Outcomesmentioning

confidence: 99%

Prospective Assessment of the Sexual Function After Greenlight Endoscopic Enucleation and Greenlight 180W XPS Photoselective Vaporization of the Prostate

Huët

Peyronnet

Khene

et al. 2019

Urology

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Lower Urinary Tract Symptoms Following Transurethral Resection of Prostate

et al. 2018

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Among the different techniques utilized for TURP, the prevalence of postoperative LUTS is similar. The chronically obstructed bladder has been shown to vary in its expression of collagen, tissue factors, and receptors when compared to the normal bladder which could contribute to the pathophysiology of LUTS after TURP. Although androgen receptors exist in the urinary epithelium, the role of sex hormones in LUTS remains obscure. GreenLight laser can lead to postoperative irritative voiding symptoms as a result of tissue necrosis. A large proportion of patients have persistent LUTS following TURP, with similar incidences between different techniques that can be used to perform TURP. LUTS after TURP should be evaluated with a thorough history and physical, including International Prostate Symptom Score, and urine culture to rule out infection. Noninvasive uroflow, post-void residuals, and subsequent urodynamic study or cystoscopy can be utilized as needed. Further research is necessary to be able to more precisely predict the patients who will experience no improvement in or worsening of LUTS following TURP.

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MRI assessment of tissue effects after 180‐W XPS greenlight laser vaporization of the prostate

Abstract: PVP with Greenlight™ XPS 180-W is associated with a significant reduction of prostate volume. The depth of necrosis is low and homogeneous, resulting in a limited risk of peri-operative complications. Lasers Surg. Med. 49:577-581, 2017. © 2017 Wiley Periodicals, Inc.

Cited by 4 publications

References 20 publications

Standardization of 532 nm Laser Terminology for Surgery in Benign Prostatic Hyperplasia: A Systematic Review

Standardization of 532 nm Laser Terminology for Surgery in Benign Prostatic Hyperplasia: A Systematic Review

Prospective Assessment of the Sexual Function After Greenlight Endoscopic Enucleation and Greenlight 180W XPS Photoselective Vaporization of the Prostate

Lower Urinary Tract Symptoms Following Transurethral Resection of Prostate

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