Urodynamic predictors of outcomes with photoselective laser vaporization prostatectomy in patients with benign prostatic hyperplasia and preoperative retention

Monoski, Mara A.; González, Ricardo R.; Sandhu, Jaspreet S.; Reddy, Balaji; Te, Alexis E.

doi:10.1016/j.urology.2006.02.020

Cited by 43 publications

(21 citation statements)

References 21 publications

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“…[10][11][12][13][14][15][16][17][18][19][20][21][22][23] Collectively, they represented a total of 1376 PVP procedures.…”

Section: Resultsmentioning

confidence: 99%

“…Prostate specific antigen levels, measured in 4 of the case series and 1 of the comparative studies, decreased by about 30%-40%, an amount similar to that reported for TURP. 10,12,14,20,22 Across all 5 case series and both comparative studies that assessed changes in prostate volume, reductions of 30%-42% were found. According to the results of the 2 comparative studies, these values were roughly equivalent to those for TURP.…”

Section: Secondary Outcomesmentioning

confidence: 91%

“…Most studies followed patients for either 6 months 10,16,18,20,21 or 12 months. [11][12][13][14][15]19,22 Only 1 study monitored patients beyond 1 year, reporting outcomes at 24 months. 23 All but 1 of the studies examined the safety of PVP, noting adverse events and complications that occurred intraoperatively or within the early postoperative period.…”

Section: Overall Description Of Included Studiesmentioning

confidence: 99%

“…Nonetheless, the combined quality of these studies, and in turn the strength of evidence presented, was considered fair. Specifically, both comparative studies received high grades (A 10 and B 11 ), while the 12 noncomparative studies [12][13][14][15][16][17][18][19][20][21][22][23] were assigned a lower grade (C).…”

Section: Overall Quality Of Included Studiesmentioning

confidence: 99%

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Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia

Stafinski

Menon

Harris³

et al. 2013

CUAJ

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Objective: In recent years, laser treatments have re-emerged as options for treating benign prostatic hyperplasia (BPH). This paper reviews the safety, efficacy, effectiveness and economics of photoselective vapourization of the prostate (PVP), compared with transurethral resection of the prostate (TURP). Methods:We conducted a comprehensive literature search to identify 14 studies comparing 80 W PVP and TURP. We then reviewed and pooled these studies. Results:We identified 12 adverse events or complications; rates were similar in both groups. No PVP patient required a blood transfusion; 5%-11% of TURP patients did. PVP patients had a significantly lower likelihood of clot retention. Collectively, the 14 studies led to the conclusion that PVP is a safe procedure. PVP is favourable to TURP regarding length of hospitalization and catheterization times. There were no meaningful differences in operation times, reoperation rates, peak flow rates, postresidual volumes or quality of life scores. Sexual function and prostate specific antigen value changes were similar. Four economic evaluations of PVP and TURP (from Canada, Switzerland, Australia and the United States) concluded that PVP is less costly per case than TURP. Cost differences are attributable to disposables, capital equipment and hospitalization. Based on our analysis of limited Canadian data, the cost of PVP is estimated to be about one-half that of TURP, even after accounting for start-up costs. Conclusion:The 80 W PVP laser appears to be a viable treatment for BPH.With the recent regulatory approval of the 120 W High Performance System (HPS), an additional option has become available. Therefore, it is anticipated that PVP will soon be considered part of a physician's repertoire for managing BPH.

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“…[10][11][12][13][14][15][16][17][18][19][20][21][22][23] Collectively, they represented a total of 1376 PVP procedures.…”

Section: Resultsmentioning

confidence: 99%

Section: Secondary Outcomesmentioning

confidence: 91%

Section: Overall Description Of Included Studiesmentioning

confidence: 99%

Section: Overall Quality Of Included Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia

Stafinski

Menon

Harris³

et al. 2013

CUAJ

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“…There have been some studies about the effect of surgery in men with BPH and DU; however, it remains controversial whether these patients should be treated by surgical methods and its clinical effects [13,14,15]. In recent years, an increasing number of scholars raise different opinions according to the urodynamics study.…”

Section: Discussionmentioning

confidence: 99%

Photoselective Vaporization of the Prostate and Simultaneous Suprapubic Cystostomy for the Treatment of Benign Prostatic Hyperplasia in Patients with Mild to Severe Detrusor Underactivity

Zhao-yi

et al. 2015

Urol Int

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Introduction: This study investigated the clinical efficacy and safety of photoselective vaporization of the prostate (PVP) and simultaneous suprapubic cystostomy for benign prostatic hyperplasia (BPH) in patients with mild to severe detrusor underactivity (DU). Subjects and Methods: Seventy-eight patients with BPH were divided into 3 groups according to the severity of DU: mild DU group, moderate DU group and severe DU group. The preoperative and postoperative data, including the detrusor pressure at maximum flow (Pdet_max), bladder compliance, maximum urinary flow (Q_max), postvoid residual urine (PVR) values, International Prostate Symptom Score (IPSS) and quality of life (QoL) were evaluated. Results: The therapeutic effectiveness including cure and improvement in mild and moderate DU group was significantly higher than that of the severe group. Compared to the preoperative values, Pdet_max, bladder compliance, Q_max, PVR, IPSS and QoL scores at 12 months postoperatively had significantly improved. In addition, the above parameters at 12 months postoperatively in the mild or moderate DU group had significant difference compared to the severe DU group. Conclusion: PVP and simultaneous suprapubic cystostomy seem to be an appropriate treatment modality in BPH patients with mild and/or moderate DU as well as in patients with severe DU and slightly reduced bladder compliance.

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Invasive urodynamic studies for the management of LUTS in men with voiding dysfunction

Clement

Bevis

Warren

et al. 2014

Cochrane Database of Systematic Reviews

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Urodynamic predictors of outcomes with photoselective laser vaporization prostatectomy in patients with benign prostatic hyperplasia and preoperative retention

Cited by 43 publications

References 21 publications

Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia

Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia

Photoselective Vaporization of the Prostate and Simultaneous Suprapubic Cystostomy for the Treatment of Benign Prostatic Hyperplasia in Patients with Mild to Severe Detrusor Underactivity

Invasive urodynamic studies for the management of LUTS in men with voiding dysfunction

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