Safety, efficacy and reliability of 180-W GreenLight laser technology for prostate vaporization: review of the literature
Purpose The aim of this study is to investigate the efficacy and safety of 180-W XPS GreenLight laser technology for photoselective prostate vaporization. Patients and methods A systematic search of the electronic databases was performed. Inclusion criteria were: full-text peer-reviewed journal article, with original data analysis that evaluates the feasibility and the outcome only of 180-W XPS GL laser system. Data at baseline and during follow-up have been taken into account. Intra-operative and postoperative (functional results and complications) data were collected and analyzed. Results We found 165 articles in our research, among which only nine articles were selected (total 991 patients). A certain grade of variability is present in all the studies in terms of scientific design, sample size and methods of reporting functional results and complications. Nevertheless, a homogenous benefit for patients in terms of symptom score improvement, post-void residual volume reduction and urinary max flow rate improvement was shown. According to Clavien–Dindo classification, 292 (83.7 %) adverse events were recorded ≤ grade 2. Adverse events ≥ grade 3 were 57 (16.3 %), among which bleeding, urinary retention and residual obstructive tissue represented the wide majority. No mortality was reported. Male sexual function was poorly investigated. Conclusions The 180-W XPS GL laser technique is feasible and safe, with a remarkable clinical benefit. Long-term evidence on outcomes and complications are suitable even in the sphere of male sexuality..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:33 |
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| Enthalten in: |
World journal of urology - 33(2015), 5 vom: 03. Feb., Seite 599-607 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Castellan, Pietro [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Complications |
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| Anmerkungen: |
© Springer-Verlag Berlin Heidelberg 2015 |
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| doi: |
10.1007/s00345-015-1490-y |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
SPR004314131 |
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| 245 | 1 | 0 | |a Safety, efficacy and reliability of 180-W GreenLight laser technology for prostate vaporization: review of the literature |
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| 500 | |a © Springer-Verlag Berlin Heidelberg 2015 | ||
| 520 | |a Purpose The aim of this study is to investigate the efficacy and safety of 180-W XPS GreenLight laser technology for photoselective prostate vaporization. Patients and methods A systematic search of the electronic databases was performed. Inclusion criteria were: full-text peer-reviewed journal article, with original data analysis that evaluates the feasibility and the outcome only of 180-W XPS GL laser system. Data at baseline and during follow-up have been taken into account. Intra-operative and postoperative (functional results and complications) data were collected and analyzed. Results We found 165 articles in our research, among which only nine articles were selected (total 991 patients). A certain grade of variability is present in all the studies in terms of scientific design, sample size and methods of reporting functional results and complications. Nevertheless, a homogenous benefit for patients in terms of symptom score improvement, post-void residual volume reduction and urinary max flow rate improvement was shown. According to Clavien–Dindo classification, 292 (83.7 %) adverse events were recorded ≤ grade 2. Adverse events ≥ grade 3 were 57 (16.3 %), among which bleeding, urinary retention and residual obstructive tissue represented the wide majority. No mortality was reported. Male sexual function was poorly investigated. Conclusions The 180-W XPS GL laser technique is feasible and safe, with a remarkable clinical benefit. Long-term evidence on outcomes and complications are suitable even in the sphere of male sexuality. | ||
| 650 | 4 | |a Photoselective vaporization of the prostate |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Laser prostatectomy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Outcomes |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Complications |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a GreenLight laser 180-W XPS |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Moxy fibers |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Castellucci, Roberto |4 aut | |
| 700 | 1 | |a Schips, Luigi |4 aut | |
| 700 | 1 | |a Cindolo, Luca |4 aut | |
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