GreenLight Laser for benign prostatic hyperplasia

Abstract

GL-PV appears to be a well tolerated surgical alternative for patients suffering from BPO. Long-term follow-up data from 120-W and 180-W laser systems are still pending. Potential competitors have recently been brought to the market and further trials and long-term data will show, whether GL-PV will stand the test of time. Regardless of technical specifications, surgeon's experience remains essential to achieve good functional and safety outcomes.

Functional outcomes and safety of GreenLight photovaporization of the prostate in the high‐risk patient with lower urinary tract symptoms due to benign prostatic enlargement

“…In the photovaporization of the prostate (PVP), GreenLight Laser with 532 nm, absorbs selectively the oxyhemoglobin promoting coagulation and cell disintegration, and inducing hemostasis . The MoXy fiber used in the procedure, increases contact surface and makes more efficient the removal of the prostate .…”

“…3,4 In the photovaporization of the prostate (PVP), GreenLight Laser with 532 nm, absorbs selectively the oxyhemoglobin promoting coagulation and cell disintegration, and inducing hemostasis. 5,6 The MoXy fiber used in the procedure, increases contact surface and makes more efficient the removal of the prostate. 7 Comparison of PVP and transurethral resection of the prostate (TURP) demonstrates lower times of hospital stay and urinary catheterization for GreenLight Laser, 8,9 and lower rates of retreatment and reinterventions due to bleeding in anticoagulated and antiaggregated patients, with the same improvement in functional outcomes.…”

“…7 Comparison of PVP and transurethral resection of the prostate (TURP) demonstrates lower times of hospital stay and urinary catheterization for GreenLight Laser, 8,9 and lower rates of retreatment and reinterventions due to bleeding in anticoagulated and antiaggregated patients, with the same improvement in functional outcomes. 5 Chronic diseases are generally not life-threatening in the short term, and appear while the population ages. 10 Taking into account that nowadays the life expectancy has increased, patients older are at a higher risk of BPE and other comorbidities that increase the risk of bleeding and complications during surgery.…”

Evaluation of transurethral GreenLight laser-selective vaporization for refractory overactive bladder in women

“…The GreenLight laser operates at a wavelength of 532 nm, with a vaporization depth ranging between 1 and 2 mm. Its energy can be absorbed mainly by hemoglobin, not water ( 20 ); the coagulation layer forms on the evaporated tissue. Therefore, it has the advantages of low energy loss, good vaporization, and hemostatic effect.…”

GreenLight Photoselective Vaporization of the Prostate: One Laser for Different Prostate Sizes

“…The European Association of Urology (EAU) guidelines recommend Green light laser vaporisation of the prostate to men with moderate-to-severe lower urinary tract symptoms (LUTS) as an alternative to TURP with a level of evidence (LE) of 1a (evidence obtained from meta-analyses of randomized trials) for short-term results with the 80W KTP laser and for mid-term results with the 120W, and of LE-1b (evidence obtained from at least one randomized trial) with the 180W LBO laser [4]. Conversely, for patients affected by large and symptomatic prostates, long-term functional results and re-operation rates after PVP performed with the 180 W LBO laser are mainly based on retrospective data [1,[5][6][7][8][9][10]. This paper has been peer-reviewed and accepted for publication, but has yet to undergo copyediting and proof correction.…”