The feasibility and safety of photoselective vaporization for prostate using a 180-W XPS Greenlight laser in day-surgery
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ORIGINAL ARTICLE
The feasibility and safety of photoselective vaporization for prostate using a 180-W XPS Greenlight laser in day-surgery pattern in China Ming Xu 1 & Chuanyang Sun 1 & Yachen Zang 1 & Jin Zhu 1 & Boxin Xue 1 & Wei Tao 1 Received: 20 August 2020 / Accepted: 23 October 2020 # Springer-Verlag London Ltd., part of Springer Nature 2020
Abstract To evaluate the feasibility and safety of photoselective vaporization for prostate (PVP) with a 180-W XPS Greenlight laser as day surgery in the Chinese population. We retrospectively collected 114 cases undergoing the day surgery PVP and 198 cases undergoing conventional inpatient surgery PVP from April 2017 to March 2020. All patients’ data including baseline characteristics, peri-operative data, post-operative outcomes, and complications were recorded and evaluated. The day-surgery procedures were successful in 110 patients. There were no significant differences in baseline characteristics in both groups. The catheterization time and hospitalization time were much shorter and economic cost was much lower in the day-surgery group than in the conventional inpatient surgery group. As for the post-operative complications, the incidence rate of the urinary retention is higher in the day-surgery group than in conventional inpatient surgery group. During the follow-up periods, the International Prostate Symptom Score (IPSS), quality of life (QoL), maximal urinary flow rate (Qmax), and post-void residual urine (PVR) improved significantly in both groups, and no differences were observed between the two groups. Compared to the conventional inpatient surgery, the day-surgery PVP is feasible and safe, which can reduce the hospitalization time and economic cost. Keywords Benign prostatic hyperplasia (BPH) . PVP . Greenlight laser . Day surgery
Introduction Benign prostatic hyperplasia (BPH) is the main etiology of lower urinary tract symptoms (LUTS) in the elderly [1]. Although the transurethral resection of the prostate (TURP) procedure is still regarded as the gold standard for the treatment of LUTS due to BPH which is recommended by the guidelines, it is associated with peri-operative and postoperative complications, which require hospitalization of several days and lead to more hospital expenses [2]. During the past decade, many minimally invasive laser procedures Xu Ming and Sun Chuanyang are co-first authors. * Boxin Xue [email protected] * Wei Tao [email protected] Chuanyang Sun [email protected] 1
Department of Urology, The Second Affiliated Hospital of Soochow University, Suzhou, China
including photoselective vaporization of prostate (PVP) have become popular, mainly because it can reduce post-operative bleeding and hospital stay [3–7]. Many studies have proved that PVP procedure is the effective and safe surgical method for BPH patients, and now, it has become one of the first choices for the treatment of BPH patients who suffer from LUTS worldwide [8], especially in the USA and China. BPH is a highly prevalent disease and a major public health concern in ind
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