scholarly journals Photoselective green-light laser vaporisation vs. TURP for BPH: meta-analysis

2012 ◽  
Vol 14 (5) ◽  
pp. 720-725 ◽  
Author(s):  
Hui Ding ◽  
Wan Du ◽  
Ze-Ping Lu ◽  
Zhen-Xing Zhai ◽  
Han-Zhang Wang ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Green Light ◽  
Green Light Laser ◽  
Laser Vaporisation

scholarly journals Comparison of photoselective green light laser vaporisation versus traditional transurethral resection for benign prostate hyperplasia: an updated systematic review and meta-analysis of randomised controlled trials and prospective studies

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e028855 ◽  
Author(s):  
Shicong Lai ◽  
Panxin Peng ◽  
Tongxiang Diao ◽  
Huimin Hou ◽  
Xuan Wang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Transurethral Resection ◽  
Prospective Studies ◽  
Randomised Controlled Trials ◽  
Meta Analysis ◽  
Green Light ◽  
Controlled Trials ◽  
Significant Difference ◽  
Green Light Laser ◽  
Randomised Controlled

ObjectiveTo assess the efficacy and safety of green-light laser photoselective vaporisation of the prostate (PVP) compared with transurethral resection of the prostate (TURP) for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH).DesignSystematic review and meta-analysis, conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement.Data sourcesPubMed, EMBASE, the Cochrane Library until October 2018.Eligibility criteriaRandomised controlled trials and prospective studies comparing the safety and efficacy of PVP versus TURP for LUTS manifesting through BPH.Data extraction and synthesisPerioperative parameters, complications rates and functional outcomes including treatment-related adverse events such as International Prostate Symptom Score (IPSS), maximum flow rate (Qmax), postvoid residual (PVR), quality of life (QoL) and International Index of Erectile Function (IIEF).Results22 publications consisting of 2665 patients were analysed. Pooled analysis revealed PVP is associated with reduced blood loss, transfusion, clot retention, TUR syndrome, capsular perforation, catheterisation time and hospitalisation, but also with a higher reintervention rate and longer intervention duration (all p<0.05). No significant difference in IPSS, Qmax, QoL, PVR or IIEF at 3, 24, 36 or 60 months was identified. There was a significant difference in QoL at 6 months (MD=−0.08; 95% CI −0.13 to −0.02; p=0.007), and IPSS (MD = −0.10; 95% CI −0.15 to −0.05; p<0.0001) and Qmax (MD=0.62; 95% CI 0.06 to 1.19; p=0.03) at 12 months, although these differences were not clinically relevant.ConclusionPVP is an effective alternative, holding additional safety benefits. PVP has equivalent long-term IPSS, Qmax, QoL, PVR, IIEF efficacy and fewer complications. The main drawbacks are dysuria and reintervention, although both can be managed with non-invasive techniques. The additional shortcoming is that PVP does not acquire histological tissue examination which removes an opportunity to identify prostate cancer.

S21 GREEN LIGHT LASER VAPORISATION AND ENUCLEATION (GLEP) OF THE PROSTATE – A 2 YEAR SERIES OF 388 CASES

2011 ◽  
Vol 10 (9) ◽  
pp. 581-582
Author(s):  
I. Kalchev ◽  
F. Sancha ◽  
A. Botsevski ◽  
J. Kotsev ◽  
G. Georgiev
Keyword(s):  
Green Light ◽  
Green Light Laser ◽  
Laser Vaporisation

scholarly journals A Systematic Review of Green-Light Laser Vaporization for Superficial Bladder Cancer

2020 ◽  
Author(s):  
Zhi Xu ◽  
Guifen Gan ◽  
Guojun Chen ◽  
Guanlin Wu
Keyword(s):  
Systematic Review ◽  
Bladder Cancer ◽  
Bladder Tumor ◽  
Meta Analysis ◽  
Green Light ◽  
Invasive Bladder Cancer ◽  
Laser Vaporization ◽  
Muscle Invasive Bladder Cancer ◽  
Green Light Laser ◽  
Muscle Invasive

Abstract Background: The related research of green-light laser vaporization in the treatment of non-muscle invasive bladder cancer (NMIBC) is limited. This study focused on analyzing the effectiveness and safety of it from the perspective of an extensive literature review. Methods: A comprehensive search of CNKI, WanFang, VIP, PubMed, Embase, and CENTRAL databases for photoselective vaporization of bladder tumor and transurethral resection of bladder tumor treatment of non-muscle invasive bladder cancer (NMIBC). The search included studies from January 1996 to December 2019. Two reviewers independently screened literature, extracted data, assessed the risk of bias of included studies. RevMan 5.3 software was used for Meta-analysis. Results: A total of 18 RCTs involving 1648 patients met the predefined criteria. Meta-analysis data demonstrated that the PVBT group exhibited a significant advantage over the TURBT group in intraoperative obturator nerve reflex and bladder perforation and postoperative 1-year recurrence. The PVBT procedure has advantages over TURBT in the amount of surgical bleeding and the length of hospital stay, bladder irrigation time, and catheter indwelling time. There was no difference between the two types of surgery in the incidence of postoperative urethral stricture and the length of surgery. Conclusion: Our systematic review and meta-analysis suggests that PVBT is better than TURBT as an alternative treatment for patients with NMIBC in safe aspect. However, whether it is equally effective in terms of oncological control remains to be elucidated, and additional high quality RCTs are needed to confirm our findings.

Perioperative major acute cardiovascular events after 180-watt Green Light laser photoselective vaporization

2018 ◽  
Vol 17 (2) ◽  
pp. e180-e182
Author(s):  
M. Marchioni ◽  
L. Cindolo ◽  
C. De Nunzio ◽  
F. Greco ◽  
P. Destefanis ◽  
...  
Keyword(s):  
Cardiovascular Events ◽  
Green Light ◽  
Photoselective Vaporization ◽  
Green Light Laser

23 Green Light laser TURP; analyse na 2 jaar vaporiseren

2011 ◽  
Vol 1 (7) ◽  
pp. 162-163
Author(s):  
J. H. Roelink ◽  
I. Hofmeester ◽  
G. J. Molijn ◽  
O. van Balen ◽  
H. E. Dijkema
Keyword(s):  
Green Light ◽  
Green Light Laser

Technique and Short-Term Outcome of Green Light Laser (KTP, 80W) Vaporisation of the Prostate

2007 ◽  
Vol 52 (6) ◽  
pp. 1632-1637 ◽  
Author(s):  
Elmar Heinrich ◽  
Frank Schiefelbein ◽  
Georg Schoen
Keyword(s):  
Green Light ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome ◽  
Green Light Laser
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