180 W vs 120 W Lithium Triborate Photoselective Vaporization of the Prostate for Benign Prostatic Hyperplasia: A Global, Multicenter Comparative Analysis of Perioperative Treatment Parameters

Objective To evaluate the surgical performance of the new Greenlight XPS-180W laser system (American Medical Systems, Minnetonka, MI) and the effect of prostate volume (PV), in comparison with the former HPS-120W system, for the treatment of benign prostatic hyperplasia by photo-selective vaporizati...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2013-11, Vol.82 (5), p.1108-1113
Main Authors: Hueber, Pierre-Alain, Liberman, Daniel, Ben-Zvi, Tal, Woo, Henry, Hai, Mahmood A, Te, Alexis E, Chughtai, Bilal, Lee, Richard, Rutman, Matthew, Gonzalez, Ricardo R, Barber, Neil, Al-Hathal, Naif, Al-Qaoud, Talal, Trinh, Quoc-Dien, Zorn, Kevin C
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Borates - chemistry
Gynecology. Andrology. Obstetrics
Humans
International Cooperation
Laser Therapy - methods
Lasers
Lithium Compounds - chemistry
Male
Male genital diseases
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Perioperative Period
Prostate - pathology
Prostatic Hyperplasia - therapy
Reproducibility of Results
Retrospective Studies
Time Factors
Treatment Outcome
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
Urology
Volatilization
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Summary:Objective To evaluate the surgical performance of the new Greenlight XPS-180W laser system (American Medical Systems, Minnetonka, MI) and the effect of prostate volume (PV), in comparison with the former HPS-120W system, for the treatment of benign prostatic hyperplasia by photo-selective vaporization of the prostate. Methods Between July 2007 and March 2012, 1809 patients underwent laser photo-selective vaporization of the prostate (1187 patients with the use of HPS-120W and 622 patients with the use of XPS-180W) at 7 international centers. All data were collected prospectively. Comparative analysis was performed between XPS and HPS according to PV measured by transrectal ultrasound. Results The XPS compared with HPS, allowed significantly reduced laser and operative time (29.6 minutes vs 65.8 minutes and 53 minutes vs 80 minutes, respectively; P  
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2013.03.059