Análisis coste efectividad a 2 años del tratamiento quirúrgico de la hiperplasia benigna de próstata mediante vaporización fotoselectiva de la próstata con GreenLight–PhotoVaporization 120W versus resección transuretral de la próstata

Benejam-Gual, J.M.; Sanz-Granda, Á; Grávalos, R. García-Miralles; Velasco, A. Severa-Ruíz de; Pons-Viver, J.

doi:10.1016/j.acuro.2013.09.012

Cited by 12 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, at both deterministic and probabilistic sensitivity analyses PVP appeared as the most expensive yet also the most efficacious procedure. Similarly, in the study by Benejam-Gual et al, 28 a cost- utility analysis has been conducted, evaluating costs associated with TURP and PVP procedures, complications, and re- interventions, during a 24 months period. According to this analysis, PVP was slightly more efficacious, yet also cheaper than TURP (difference of total cost per patient= −393 euros).…”

Section: Methodsmentioning

confidence: 99%

A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow Obstruction

Pirola¹,

Maggi²,

Castellani³

et al. 2021

RRU

View full text Add to dashboard Cite

Transurethral resection of the prostate (TURP) is the gold standard surgical technique for endoscopic treatment of benign prostatic hyperplasia (BPH). Introduced in 2001, the bipolar energy appeared to be a valid alternative to the classical monopolar one with reduced risk of complication related to the use of saline irrigation and to the increased hemostatic efficacy. More recently, raising attention has been given to laser enucleation and vaporization techniques, which appear to achieve further advantages in terms of reduced hospital stay and complications compared to the resection ones. Few studies have investigated the cost/benefit ratio related to these techniques. The aim of this systematic review was to analyze the cost/benefit ratio of bipolar TURP (B-TURP) compared with other endoscopic procedures.

show abstract

Section: Methodsmentioning

confidence: 99%

A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow Obstruction

Pirola¹,

Maggi²,

Castellani³

et al. 2021

RRU

View full text Add to dashboard Cite

show abstract

“…Разбивка этих затрат на проанализированные периоды показывает, что послеоперационный этап дороже в группе ТУР ПЖ, в то время как хирургический этап -дешевле, чем в группе GreenLight HPS 120 Вт, и наоборот, что связано со стоимостью оборудования, необходимого для GL HPS 120 W. Более того, как это часто бывает с новыми медицинскими технологиями, цена единицы продукции со временем снижается. Результаты эффективности соответствуют полученным в рандомизированных контролируемых клинических исследованиях с 2-летним наблюдением, которые оценивали GLHPS 120 W по сравнению с ТУР ПЖ, показав сокращение времени пребывания в стационаре, хотя они указывают на более длительное время операции при использовании GL HPS 120 W [51].…”

Section: эффективность операцииunclassified

Laser technologies in treatment of benign prostatic hyperplasia.

Bykov¹,

Shiryaev²,

Колонтарев³

2022

ECU

View full text Add to dashboard Cite

Introduction. Benign prostatic hyperplasia (BPH) is a common disease among men over 40 years old. Transurethral resection of the prostate has traditionally been considered the «gold standard» for surgical treatment of patients with BPH. The emergence and popularization of laser energy has led to the development of surgical technologies that can closely approach, and in some cases even exceed the effectiveness and safety of TURP. Materials and тethods. The data were searched in the PubMed, Web of Scince. databases of Google Scholar and the scientific electronic library eLibrary.RU using the following keywords: benign prostatic hyperplasia, surgical treatment; transurethral resection of the prostate; tulium laser; holmium laser; photoselective vaporization; GreenLight system; laser energy; cost-effectiveness. Among all currently available laser energies the greatest number of publications is devoted to the use of holmium and thulium energy for laser enucleation of the prostate (HoLEP and THuLEP). Results. The effectiveness of HoLEP has been well studied with papers on the use of this technique, including numerous randomized controlled trials. The safety and efficacy of surgical intervention in patients with a large prostate volume (>100 g) was confirmed in 2000. The efficacy of the procedure was comparable to open surgery, while perioperative morbidity was lower in the group of patients who underwent HoLEP. The Tulium laser has a wavelength of 2013 nm and a penetration depth of 0.25 mm, using water as an absorbing chromophore. Unlike the holmium laser, energy is released in a continuous visible mode. This energy for the treatment of patients with BPH was first used in 2015. ThuLEP was studied in a metaanalysis by Kyriazis et al. Four studies (two randomized studies comparing ThuLEP with TURP or HoLEP and two prospective cohort studies with a follow-up period of 3-24 months) were included in this work. The authors reported an 87% reduction in prostate volume, a significant change in Qmax and IPSS, on par with TURP. Conclusion. A large variety of laser surgical systems are currently available, differing in the types of laser energy used. Surgical treatment of BPH can be performed using any method of laser surgery. The most promising and safe method for BPH treatment is the use of tulium laser energy. However, there is insufficient data on the cost-effectiveness of laser technologies.

show abstract

Cost-effectiveness of Medical Versus Surgical Therapy for BPH

Shabataev

Allahwala

2019

Curr Bladder Dysfunct Rep

View full text Add to dashboard Cite

Análisis coste efectividad a 2 años del tratamiento quirúrgico de la hiperplasia benigna de próstata mediante vaporización fotoselectiva de la próstata con GreenLight–PhotoVaporization 120W versus resección transuretral de la próstata

Cited by 12 publications

References 14 publications

A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow Obstruction

A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow Obstruction

Laser technologies in treatment of benign prostatic hyperplasia.

Cost-effectiveness of Medical Versus Surgical Therapy for BPH

Contact Info

Product

Resources

About