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World Journal of Urology

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01-04-2015 | Invited Review

Update on Greenlight laser vaporization (PVP) 2014

Authors: Malte Rieken, Alexander Bachmann

Published in: World Journal of Urology | Issue 4/2015

Abstract

Purpose

To asses the (1) outcomes and (2) intraoperative, perioperative, and long-term complications of photoselective vaporization of the prostate (PVP) with Greenlight laser.

Methods

A systematic review of outcomes and complications of PVP was conducted. The article selection process was performed according to PRISMA guidelines and included publications published between 2009 and 2014.

Results

All generations of PVP (80, 120, 180 W) lead to a significant improvement of micturition symptoms (IPSS, QoL) and voiding parameters (Q max, PVR volume) during follow-up. Data on sexual function are heterogeneous and suggest a trend toward decline in erectile function in men with sustained preoperative erection. The rate of intraoperative complications is low. Data on peri- and postoperative complications show a large variation that mainly can be attributed to heterogeneity in documentation.

Conclusions

PVP leads to a statistically significant and clinically relevant improvement of voiding parameters and micturition symptoms in patients with prostates <100 ml. The technique is characterized by a high degree of intra- and perioperative safety. Long-term evidence on functional outcomes and complications beyond 3 years from RCTs is currently missing for all generations of the Greenlight laser.

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Title: Update on Greenlight laser vaporization (PVP) 2014
Authors: Malte Rieken
Alexander Bachmann
Publication date: 01-04-2015
Publisher: Springer Berlin Heidelberg
Published in: World Journal of Urology / Issue 4/2015
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-014-1437-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Update on Greenlight laser vaporization (PVP) 2014

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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