Photoselective vaporization of the prostate. Review of cost implementation to BPH treatment

Alivizatos, Gerasimos; Skolarikos, Andreas

doi:10.1038/sj.pcan.4500950

Cited by 13 publications

(4 citation statements)

References 54 publications

(79 reference statements)

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“…The complications of BPH, including urinary retention, urinary infection, reduced renal function, and indwelling urinary catheter, eventually lead to reduced social activities in particular [ 2 ]. These problems brought a rapid increase in social expenses from 4 billion to 26 billion dollars annually, a trend that is continuously increasing at the moment [ 3 ]. This fact implies that medical costs could be saved to a great extent if BPH were properly managed in our society.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations

Choi

Bae

Kim

et al. 2013

Prostate International

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Purpose:High-Performance System (HPS) laser photo vaporization of the prostate (PVP) is a widely used procedure nowadays. The safety and efficacy of the procedure has been affirmed in general patients with benign prostatic hyperplasia (BPH), but data on the safety and efficacy in specific situations, such as in patients with a large prostate, patients taking anticoagulant or 5-alpha reductase inhibitor (5-ARI) medication, and patients with a history of acute urinary retention (AUR) or previous transurethral resection of the prostate (TURP), is lacking. We investigated the safety and efficacy of HPS laser PVP in these unique patient groups.Methods:The study was conducted from March 2009 to February 2012 among patients for lower urinary tract symptoms. Patients in whom BPH was diagnosed and who were treated with 120-W HPS GreenLight PVP were selected. Patients were divided into groups of prostate size above and below 80, anticoagulant medication, 5-ARI medication, AUR history, and TURP history on the basis of the preoperative history and physical examination.Results:A total of 533 patients observable for a follow-up period of more than 6 months were enrolled as the study population. The patients’ mean preoperative prostate size was 51.0±32.7 mL and their mean prostate-specific antigen was 4.5±27.9 ng/mL. The average operating time was 24.5±12.2 minutes and the average applied energy during surgery was 152,184±89,495 J. Postoperative objective and subjective parameters in all groups were significantly improved compared with preoperative values.Conclusions:Laser resection of the prostate is safe and effective. The results of HPS laser PVP were not influenced by prostate size, the use of anticoagulants, the intake of 5-ARI for BPH management, a history of AUR, a history of TURP, or other factors. Thus, this study was able to reconfirm the efficacy and safety of laser resection of the prostate.

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Section: Introductionmentioning

confidence: 99%

Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations

Choi

Bae

Kim

et al. 2013

Prostate International

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“…Keeping all of this in mind, Alivizatos et al concluded that although preliminary results of cost-analysis studies of PVP are in favor of PVP versus TURP, further evidence is certainly needed to support this. 59 …”

Section: Discussionmentioning

confidence: 99%

The Evolution of KTP Laser Vaporization of the Prostate

Sountoulides

Tsakiris

2008

Yonsei Med J

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The search for a minimally invasive approach to the treatment of Lower Urinary Tract Symptoms (LUTS) suggestive of Benign Prostatic Hyperplasia (BPH) is probably as old as Transurethral Resection of the Prostate (TURP). In an effort to overcome the limitations and morbidities of TURP, and in light of evidence suggesting that medical treatment for BPH has a limited life-span, laser-based treatments have emerged during the last decade. Photoselective Vaporization of the Prostate (PVP) by the "GreenLight" KTP laser is considered one of the most promising options, one that is constantly evolving new technologies in prostate surgery. In this overview of KTP laser usage in BPH treatment, we will briefly discuss the evolution of this modality since it was first introduced and focus on the available evidence regarding safety, efficacy and cost parameters of its application.

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“…Por otra parte, también se pueden encontrar objeciones a esta técnica. Una de ellas es el elevado coste económico, aunque no existen en la literatura estudios concluyentes al respecto, y los disponibles hasta ahora determinan que la FVP es menos cara que la RTUp 5,6 . Otro de los puntos débiles no cuestionables de la FVP es la ausencia de estudios prospectivos aleatorizados randomizados con seguimiento a largo plazo, que avalen los resultados hasta ahora publicados (a diferencia de su gran "competidor" que es la enucleación prostática con láser Holmium).…”

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Papel actual de la fotovaporización prostática con Láser Greenlight HPS. Aspectos técnicos y revisión de la literatura

Manjón

Gallego

Zarzuelo

et al. 2009

Actas Urológicas Españolas

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Photoselective vaporization of the prostate with 120W HPS Greenlight laser is one of the most attractive modalities of surgical treatment for benign prostatic hyperplasia at present. The specific physical characteristics of this laser provides an excellent safety and effectiveness profile, making it the ideal technique for high-risk patients or patients ongoing oral anticoagulation. Moreover, the undeniable reduction of urethral catheterization time and hospital stay compared to transurethral resection of prostate (TURP) involves a much more comfortable postoperative period for patients. We have conducted a Medline/Pubmed search, presenting in this review the outcomes and current surgical techniques described in recent studies. We have also reviewed the controversial aspects and limitations attributed to this technique.

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Photoselective vaporization of the prostate. Review of cost implementation to BPH treatment

Cited by 13 publications

References 54 publications

Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations

Efficacy and safety of 120-W GreenLight High-Performance System laser photo vaporization of the prostate: 3-year results with specific considerations

The Evolution of KTP Laser Vaporization of the Prostate

Papel actual de la fotovaporización prostática con Láser Greenlight HPS. Aspectos técnicos y revisión de la literatura

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