Abstract
The technical recommendations of an international group of experts on photoselective vaporization of the prostate (PVP; GreenLight PV) for benign prostatic hyperplasia are described. Their experience stems from the treatment of over 3500 patients at five centres in Europe and the United States. The objectives of this physician-based initiative are to optimize the results achieved with PVP by standardizing the procedure, as well as to recommend training requirements.
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References
Gilling PJ, Cass CB, Malcolm AR, Fraundorfer MR . Combination holmium and Nd:YAG laser ablation of the prostate: initial clinical experience. J Endourol 1995; 9: 151–153.
Wilson LC, Gilling PJ, Williams A, Kennett KM, Frampton CM, Westenberg AM et al. A randomised trial comparing holmium laser enucleation versus transurethral resection in the treatment of prostates larger than 40 grams: results at 2 years. Eur Urol 2006; 50: 569–573.
Shah HN, Mahajan AP, Sodha HS, Hegde S, Mohile PD, Bansal MB . Prospective evaluation of the learning curve for holmium laser enucleation of the prostate. J Urol 2007; 177: 1468–1474.
Hai MA, Malek RS . Photoselective vaporization of the prostate: initial experience with a new 80 W KTP laser for the treatment of benign prostatic hyperplasia. J Endourol 2003; 17: 93–96.
Jacques SL . Laser–tissue interactions. Photochemical, photothermal, and photomechanical. Surg Clin North Am 1992; 72: 531–558.
Kuntzman RS, Malek RS, Barrett DM, Bostwick DG . High-power (60-watt) potassium–titanyl-phosphate laser vaporization prostatectomy in living canines and in human and canine cadavers. Urology 1997; 49: 703–708.
Bachmann A, Schurch L, Ruszat R, Wyler SF, Seifert HH, Muller A et al. Photoselective vaporization (PVP) versus transurethral resection of the prostate (TURP): a prospective bi-centre study of perioperative morbidity and early functional outcome. Eur Urol 2005; 48: 965–971.
Ruszat R, Wyler S, Seifert HH, Reich O, Forster T, Stief CG et al. Photoselective vaporization of the prostate: experience with prostate adenomas >80 cm3. Urologe A 2006; 45: 858–864.
Ruszat R, Wyler S, Seifert HH, Reich O, Forster T, Sulser T et al. Photoselective vaporization of the prostate: subgroup analysis of men with refractory urinary retention. Eur Urol 2006; 50: 1040–1049.
Rajbabu K, Dudderidge T, Barber N, Walsh K, Muir G . Evaluation of ideal irrigation fluid in ‘Greenlight’ photoselective vapourization of the prostate. Prostate Cancer Prostatic Dis 2007; 10: 101–103.
Reich O, Bachmann A, Schneede P, Zaak D, Sulser T, Hofstetter A . Experimental comparison of high power (80 W) potassium titanyl phosphate laser vaporization and transurethral resection of the prostate. J Urol 2004; 171 (6 Part 1): 2502–2504.
Ruszat R, Wyler S, Forster T, Reich O, Stief CG, Gasser TC et al. Safety and effectiveness of photoselective vaporization of the prostate (pvp) in patients on ongoing oral anticoagulation. Eur Urol 2007; 51: 1031–1041.
Malek RS, Kuntzman RS, Barrett DM . High power potassium–titanyl-phosphate laser vaporization prostatectomy. J Urol 2000; 163: 1730–1733.
Sandhu J, Te AE . Photoselective vaporization of the prostate – the vaporization incision technique for large volume prostates. J Urol 2005; 173 (4 Suppl): 366, abstract no. 1346.
Gomez-Sancha F, Castillon-Vela I . KTP laser photoselective vaporization of the prostate: single surgeon experience on 150 patients. J Urol 2006; 175: 491, abstract 1523.
Acknowledgements
This study was supported by an unrestricted educational grant from Laserscope, CA, USA; Urology Research Fund, King's College, London, UK and Instituto de Cirugía Urológica Avanzada, Madrid, Spain.
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Gómez Sancha, F., Bachmann, A., Choi, B. et al. Photoselective vaporization of the prostate (GreenLight PV): lessons learnt after 3500 procedures. Prostate Cancer Prostatic Dis 10, 316–322 (2007). https://doi.org/10.1038/sj.pcan.4500989
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DOI: https://doi.org/10.1038/sj.pcan.4500989
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