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Comparative Studies | Urology | India | Volume 12 Issue 5, May 2023

Comparison of Photo Selective High Power System 120 - W Green Light Laser Vaporisation Versus Transurethral Resection for Benign Prostate Hyperplasia

Dr. Pulkit Garg | Dr. Gordhan Choudhary | Dr Chandrashekar | Dr. Himanshu Gehlot | Dr. Anurag Yadav

Abstract: Background: To compare the short term outcomes of the efficacy and safety ofhps 120 W green - light laser photoselective vaporisation of the prostate (PVP) with transurethral resection of the prostate (TURP) for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) in a prospective randomized trial. Material & methods: fifty consecutive patients with enlarged prostatic adenomas satisfying the eligibility criteria wererandomly assigned for surgical treatment with TURP (n 25) or PVP (n 25). The groups were compared for functional outcome (both subjective and objective parameters), perioperative parameters and complications. Patients were reassessed at 3 and 6 months. P value<0.05 was considered statistically significant. Results: The baseline characteristics of the two groups were comparable. Mean age was 68.72years and 66.55 years, mean IPSS score was 18.35 and 19.77, mean prostate volume was 48.62cc and 44.50 cc in Group A and B, respectively. Improvements in IPSS, QOL, prostate volume, Q max and PVRU at 3 months were similar in both groups. PVP is associated with reduced blood loss, transfusion, clot retention, TUR syndrome, capsular perforation, catheterisation time and hospitalisation, but a higher dysuria rate when compared to TURP patients. Conclusions: PVP is an effective alternative, holding additional safety benefits. PVP has equivalent IPSS, Qmax, QoL, PVR, IIEF efficacy and fewer complications with additional benefits of lesser perioperative blood loss, lesser transfusion requirements and a shorter catheterization time. Long - term follow - up is necessary to assess the durability of these results.

Keywords: Greenlight 120 - W HPS. Photoselective vaporization. Transurethral resection of the prostate. Benign prostatic hyperplasia

Edition: Volume 12 Issue 5, May 2023,

Pages: 1126 - 1130