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A systematic review of experience of 180‐ W XPS GreenLight laser vaporisation of the prostate in 1640 men
Author(s) -
Brunken Claus,
Seitz Christian,
Woo Henry H.
Publication year - 2015
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/bju.12955
Subject(s) - medicine , urology , lower urinary tract symptoms , prostate , x ray photoelectron spectroscopy , transurethral resection of the prostate , hyperplasia , clinical practice , nursing , physics , nuclear magnetic resonance , cancer
Objective To systematically review the literature regarding clinical outcomes of 180‐ W XPS GreenLight ® laser ( GL ) vaporisation for the treatment of lower urinary tract symptoms ( LUTS ) related to benign prostatic hyperplasia ( BPH ). Methods Recent publications were identified in the field of 180‐ W GL vaporisation for the treatment of LUTS due to BPH . We searched for peer‐reviewed original articles in the E nglish language. Search items were: ‘180 W lithium triborate laser’ or ‘180 W greenlight laser’ or ‘180 watt lithium triborate laser’ or ‘180 watt greenlight laser’ or ‘ XPS greenlight laser’. In all, 30 papers published between 2012 and 2014 matched this search. Of these, 10 papers were identified dealing with consecutive cohorts of patients treated with the 180‐ W XPS GLResults The 10 papers included a total experience of 1640 patients. The only randomised controlled trial in this field compares 180‐ W with transurethral resection of the prostate ( TURP ). Functional outcomes and prostate volume reduction after GL vaporisation were similar to TURP . Catheterisation time and hospital stay were shorter in patients undergoing 180 W XPS GL vaporisation (41 and 66 h vs 60 and 97 h, respectively). Four papers compared the 180‐ W XPS system to former GL devices showing increased operation time efficiency and comparable postoperative voiding results and adverse events. One paper defined the learning curve to achieve an expert level according to the speed of the procedure and the effectiveness of volume reduction was met after 120 procedures. Conclusion The 180‐ W XPS GL offers shorter operation times than former devices. In the one randomised controlled trial comparison with TURP , volume reduction and functional results were comparable to those of TURP . Longer term studies are required.