Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Feb;7(1):3-8.
doi: 10.1177/1756287214556643.

A prospective, randomized comparative study of monopolar transurethral resection of the prostate versus photoselective vaporization of the prostate with GreenLight 120-W laser, in prostates less than 80 cc

Onur Telli  1 , Tolga Muharrem Okutucu  2 , Evren Suer  2 , Berk Burgu  2 , Omer Gulpinar  2 , Onder Yaman  2 , Selen Bozkurt  3
Affiliations

A prospective, randomized comparative study of monopolar transurethral resection of the prostate versus photoselective vaporization of the prostate with GreenLight 120-W laser, in prostates less than 80 cc

Onur Telli et al. Ther Adv Urol. 2015 Feb.

Abstract

Objective: In this study we aimed to compare photoselective vaporization (PVP) with the GreenLight 120-W Laser and monopolar transurethral resection as surgical treatments of prostates less than 80 cc in men with obstructive benign prostatic hyperplasia.

Methods: From February 2009 to March 2012 we allocated 101 patients with a prostate glands of less than 80 cc; patients were randomly assigned for surgical treatment with monopolar transurethral resection of the prostate (TURP) (n = 62) or PVP (n = 39). Serum prostate specific antigen (PSA), International Prostate Symptom Score (IPSS), Sexual Health Inventory for Men (SHIM), maximum flow rate (Qmax) postmicturition residual (PMR), transrectal ultrasound volumes (TRUS), postvoid urine residual (PVR), complications, re-operations and hospitalization time were collected. The patients were seen in the follow up at 6, 12 and 24 months.

Results: Median age was 69 (56-87) years old in the TURP group and 67 (51-87) years old in the PVP group. Mean preoperative prostate volume was 55 cc (40-72) and 60 cc (41-75) cc in the TURP group versus the PVP group. There was no statistically difference in subjectively (IPSS, SHIM) and objectively (Qmax-PMR) parameters and postoperatively complication rates between the two groups (p > 0.05). A significant difference was observed in the PVP group with a 2 (1-4) days hospital stay compared with 5 (3-9) days for the TURP group (p < 0.001).

Conclusion: Prostate PVP and TURP are effective surgical treatments for benign prostatic hyperplasia. Postoperative functional improvements were durable and equivalent in the two groups. The two techniques have a similar complication rate.

Keywords: GreenLight; photoselective vaporization of prostate; prostatectomy; prostatic hyperplasia; transurethral resection of prostate.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest statement: The authors declare that there is no conflict of interest.

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Al-Ansari A., Younes N., Sampige V., Al-Rumaihi K., Ghafouri A., Gul T., et al. (2010) GreenLight HPS 120-W laser vaporization versus transurethral resection of the prostate for treatment of benign prostatic hyperplasia: a randomized clinical trial with midterm follow-up. Eur Urol 58: 349–355. - PubMed
    1. Bachmann A., Ruszat R., Wyler S., Reich O., Seifert H., Müller A., et al. (2005a) Photoselective vaporization of the prostate: the basel experience after 108 procedures. Eur Urol 47: 798–804. - PubMed
    1. Bachmann A., Schürch L., Ruszat R., Wyler S., Seifert H., Müller A., et al. (2005b) Photoselective vaporization (PVP) versus transurethral resection of the prostate (TURP): a prospective bi-centre study of perioperative morbidity and early functional outcome. Eur Urol 48: 965–971; discussion 972. - PubMed
    1. Bachmann A., Tubaro A., Barber N., d’Ancona F., Muir G., Witzsch U., et al. (2014) 180-W XPS GreenLight laser vaporisation versus transurethral resection of the prostate for the treatment of benign prostatic obstruction: 6-month safety and efficacy results of a European multicentre randomised trial – the GOLIATH study. Eur Urol 65: 931–942. - PubMed
    1. Barry M., Williford W., Chang Y., Machi M., Jones K., Walker-Corkery E., et al. (1995) Benign prostatic hyperplasia specific health status measures in clinical research: how much change in the American Urological Association symptom index and the benign prostatic hyperplasia impact index is perceptible to patients? J Urol 154: 1770–1774. - PubMed

LinkOut - more resources