Standard vs. anatomical 180-W GreenLight laser photoselective vaporization of the prostate: a propensity score analysis

World Journal of Urology
Luca CindoloMembers of Green Laser Italian Group

Abstract

To compare the efficacy, safety, Patient Global Impression of Improvement (PGI-I), and complications rates after 180-W GreenLight laser (180-W GL laser) standard and anatomical photoselective vaporization (sPVP and aPVP). Within a multi-institutional database, we identified patients who underwent sPVP or aPVP to relief BPH symptoms. IPSS, Q max, and prostate-specific antigen (PSA) were measured at baseline and during the follow-up. PGI-I score as well as early and late complications were recorded at follow-up visits. Log-binomial and multivariable proportional odds regression models were fitted to estimate the effect of aPVP vs. sPVP on PGI-I as well as on early and late complication rates, before and after adjustment for propensity score. 813 patients were included. Of those, the 50.4% underwent aPVP. Patients who underwent aPVP had larger prostate (64 vs. 55 mL, p < 0.001) and higher baseline PSA levels (3.1 vs. 2.5 ng/mL, p < 0.001). PGI-I score was signaled as very improved, improved, slightly improved, unchanged, or worsened in 55.5, 32.8, 8.3, 2.3, and 1.2% of the cases, respectively, with no differences according the technique used (p = 0.420). Acute urinary retention occurred in 9.2 vs. 8.9% of patients after aPVP vs. s...Continue Reading

References

May 21, 2016·Journal of Endourology·Benjamin V StoneAlexis E Te
Sep 3, 2016·World Journal of Urology·Thomas R W Herrmann
Dec 3, 2016·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Luca CindoloLuigi Schips
Jan 4, 2017·International Urology and Nephrology·Luca CindoloGiovanni Ferrari
Apr 30, 2017·World Journal of Urology·Benoit PeyronnetFernando Gomez-Sancha
Jun 4, 2017·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·G HibonF Bruyère

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