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Photoselective vaporization of the prostate using the 120‐W lithium triborate laser in enlarged prostates (>120 cc)
Author(s) -
Woo Henry H.
Publication year - 2011
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/j.1464-410x.2010.09855.x
Subject(s) - urinary retention , medicine , urology , prostate , cancer
Study Type – Therapy (case series) Level of Evidence 4 OBJECTIVE• To evaluate experience with high power LBO laser for large prostatesPATIENTS AND METHODS• Prospective database of 288 men treated with PVP from November 2006–2009 • 33 men identified to have transrectal ultrasound measured prostate size >120 cc • All but 9 men not in urinary retention or on anticoagulant medications • Average ASA Score 2.25 (range 1–4) with 11 having an ASA Score of 3 or moreRESULTS• Mean operating time and laser time 109 and 86 minutes respectively • IPSS, QoL and Qmax changes from baseline to 3 months for those not in retention were 24 to 8.6, 5.0 to 1.8 and 7.5 mL/s to 19.6 mL/s respectively • Post void residual in these men fell from a mean of 235 mL to 88 mL • Average fall in PSA was 38% for 22 men with paired PSA data • Post operative urinary retention in 4 men resolved. 2 late onset clot urinary retentionCONCLUSION• Early results demonstrate PVP to be safe and efficacious on early follow up in a high risk group of patients with significantly enlarged prostates, anticoagulation and urinary retention