GREENLIGHT PVP. MAYO CLINIC APPROACH, SURGICAL TECHNIQUE, AND OUTCOMES
Authors:
R. S. Malek
Authors place of work:
Department of Urology Mayo Clinic
Published in the journal:
Urol List 2009; 7(3): 45-50
Summary
Recent advances in laser technology have led to the development by Male at Mayo Clinic of a new highly effective and easily performed vaporization technique for laser prostatectomy (LP) known as photoselective vaporization of the prostate (PVP), utilizing high-power GreenLight 532 nm (potassium titanyl phosphate [KTP] laser at 80 W, or more recently, lithium triborate [LBO] laser at 120 W) delivered transurethrally by a side-firing fiber through a small-caliber laser cystoskope to vaporize obstructive benign prostatic hyperplasia (BPH) actuely and hemostatically. A growing numer of studies indicate that PVP is relatively bloodless and followed by typically short-term catheterization or no catheterization, little morbidity or postoperative discomfort, rapid recovery, and excellent and durable outcomes. Advantages of GreenLight PVP become even more apparent in its remarkably safe application in high-risk patiens with significant comorbidities (ASA ≥ 3) and coagulation defects. With its merits gaining worldwide recognition, GreenLight PVP has become the leading contestant in the field of surgical therapy for obstuctive BPH.
Key words:
laser, prostate hyperplasia, GreenLight, PVP
Zdroje
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Štítky
Paediatric urologist UrologyČlánok vyšiel v časopise
Urological Journal
2009 Číslo 3
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