To explore the safety and feasibility of photo-selective vaporization of the prostate (PVP) with GreenLight XPS 180 Watt laser (GL-180- W XPS) combined with other surgical procedures.
Data on patients in whom GL-180-W XPS was performed to relieve lower urinary tract symptoms/ benign prostatic hyperplasia (LUTS/BPH) symptoms were extracted from a multi-institutional database (2011-2016). Patients were stratified into two groups. In the first all patients who had GL-180-W XPS with a concomitant procedure during the same surgical session were included as cases while those who underwent GL-180-W XPS PVP only were included as control.
A total of 487 patients were included. Fifty-eight (11.9%) patients underwent concomitant procedures. Multivariable linear regression models failed to find an association between concomitant procedures and longer laser time (p = 0.4). Similarly, multivariable linear regression models failed to find an association between concomitant procedures and laser time even when the analyses were repeated and stratified into endoscopic (p = 0.6) and open/laparoscopic (p = 0.4) procedures. Multivariable logistic regression models failed to demonstrate any association between concomitant procedures and early complications (OR:1.39, CI: 0.379-2.44, p = 0.2), late complications (OR:1.84, CI:0.78-3.98; p = 0.1) and acute urinary retention (OR:1.84, CI:0.78-3.98; p = 0.1). When the analyses were repeated and the concomitant procedures stratified into endoscopic and open/laparoscopic ones, they yielded virtually the same results.
GL-180-W XPS PVP could be safely performed in concomitant endoscopic or open/laparoscopic surgery. These results should be taken into consideration in the counseling of the patient who might choose to undergo simultaneous procedures.
Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica. 2020 Dec 17*** epublish ***
Roberto Castellucci, Michele Marchioni, Giuseppe Fasolis, Francesco Varvello, Pasquale Ditonno, Gaetano Di Rienzo, Francesco Greco, Vincenzo Maria Altieri, Antonio Frattini, Giovanni Ferrari, Luigi Schips, Luca Cindolo
Department of Urology ASL Abruzzo 2 Chieti. ., Department of Urology, SS Annunziata Hospital, "G. D'Annunzio" University, Chieti. ., Department of Urology, "S. Lazzaro" Hospital, Alba. ., Department of Urology, "S. Lazzaro" Hospital, Alba. ., Department of Emergency and Organ Transplantation, Urology and Andrology Unit II, University of Bari. ., Department of Emergency and Organ Transplantation, Urology and Andrology Unit II, University of Bari. ., Department of Urology, Humanitas "Gavazzeni", Bergamo. ., Department of Urology, Humanitas "Gavazzeni", Bergamo. ., Department of Urology, "Ercole Franchini" Hospital, Montecchio Emilia. ., Department of Urology, "Hesperia" Hospital, Modena. ., Department of Urology, SS Annunziata Hospital, "G. D'Annunzio" University, Chieti. ., Department of Urology, Private Hospital Villa Stuart, Rome. .