The safety and feasibility of the simultaneous use of 180-W GreenLight laser for prostate vaporization during concomitant surgery
OBJECTIVES: To explore the safety and feasibility of photo-selective vaporization of the prostate (PVP) with GreenLight XPS 180 Watt laser (GL-180- W XPS) combined with other surgical procedures.
MATERIAL AND METHODS: Data on patients in whom GL-180-W XPS was performed to relieve lower urinary tract symptoms/ benign prostatic hyperplasia (LUTS/BPH) symptoms were extracted from a multi-institutional database (2011-2016). Patients were stratified into two groups. In the first all patients who had GL-180-W XPS with a concomitant procedure during the same surgical session were included as cases while those who underwent GL-180-W XPS PVP only were included as control.
RESULTS: A total of 487 patients were included. Fifty-eight (11.9%) patients underwent concomitant procedures. Multivariable linear regression models failed to find an association between concomitant procedures and longer laser time (p = 0.4). Similarly, multivariable linear regression models failed to find an association between concomitant procedures and laser time even when the analyses were repeated and stratified into endoscopic (p = 0.6) and open/laparoscopic (p = 0.4) procedures. Multivariable logistic regression models failed to demonstrate any association between concomitant procedures and early complications (OR:1.39, CI: 0.379-2.44, p = 0.2), late complications (OR:1.84, CI:0.78-3.98; p = 0.1) and acute urinary retention (OR:1.84, CI:0.78-3.98; p = 0.1). When the analyses were repeated and the concomitant procedures stratified into endoscopic and open/laparoscopic ones, they yielded virtually the same results.
CONCLUSIONS: GL-180-W XPS PVP could be safely performed in concomitant endoscopic or open/laparoscopic surgery. These results should be taken into consideration in the counseling of the patient who might choose to undergo simultaneous procedures.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:92 |
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| Enthalten in: |
Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica - 92(2020), 4 vom: 17. Dez. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Castellucci, Roberto [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 28.06.2021 Date Revised 28.06.2021 published: Electronic Citation Status MEDLINE |
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| doi: |
10.4081/aiua.2020.4.297 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM319135942 |
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| 100 | 1 | |a Castellucci, Roberto |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The safety and feasibility of the simultaneous use of 180-W GreenLight laser for prostate vaporization during concomitant surgery |
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| 500 | |a Date Revised 28.06.2021 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVES: To explore the safety and feasibility of photo-selective vaporization of the prostate (PVP) with GreenLight XPS 180 Watt laser (GL-180- W XPS) combined with other surgical procedures | ||
| 520 | |a MATERIAL AND METHODS: Data on patients in whom GL-180-W XPS was performed to relieve lower urinary tract symptoms/ benign prostatic hyperplasia (LUTS/BPH) symptoms were extracted from a multi-institutional database (2011-2016). Patients were stratified into two groups. In the first all patients who had GL-180-W XPS with a concomitant procedure during the same surgical session were included as cases while those who underwent GL-180-W XPS PVP only were included as control | ||
| 520 | |a RESULTS: A total of 487 patients were included. Fifty-eight (11.9%) patients underwent concomitant procedures. Multivariable linear regression models failed to find an association between concomitant procedures and longer laser time (p = 0.4). Similarly, multivariable linear regression models failed to find an association between concomitant procedures and laser time even when the analyses were repeated and stratified into endoscopic (p = 0.6) and open/laparoscopic (p = 0.4) procedures. Multivariable logistic regression models failed to demonstrate any association between concomitant procedures and early complications (OR:1.39, CI: 0.379-2.44, p = 0.2), late complications (OR:1.84, CI:0.78-3.98; p = 0.1) and acute urinary retention (OR:1.84, CI:0.78-3.98; p = 0.1). When the analyses were repeated and the concomitant procedures stratified into endoscopic and open/laparoscopic ones, they yielded virtually the same results | ||
| 520 | |a CONCLUSIONS: GL-180-W XPS PVP could be safely performed in concomitant endoscopic or open/laparoscopic surgery. These results should be taken into consideration in the counseling of the patient who might choose to undergo simultaneous procedures | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Marchioni, Michele |e verfasserin |4 aut | |
| 700 | 1 | |a Fasolis, Giuseppe |e verfasserin |4 aut | |
| 700 | 1 | |a Varvello, Francesco |e verfasserin |4 aut | |
| 700 | 1 | |a Ditonno, Pasquale |e verfasserin |4 aut | |
| 700 | 1 | |a Di Rienzo, Gaetano |e verfasserin |4 aut | |
| 700 | 1 | |a Greco, Francesco |e verfasserin |4 aut | |
| 700 | 1 | |a Altieri, Vincenzo Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Frattini, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Ferrari, Giovanni |e verfasserin |4 aut | |
| 700 | 1 | |a Schips, Luigi |e verfasserin |4 aut | |
| 700 | 1 | |a Cindolo, Luca |e verfasserin |4 aut | |
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