https://doi.org/10.4081/aiua.2020.4.297

The safety and feasibility of the simultaneous use of 180-W GreenLight laser for prostate vaporization during concomitant surgery

Vol. 92 No. 4 (2020)
Submitted: March 24, 2020
Accepted: August 21, 2020
Published: December 17, 2020
GreenLight laser; Concomitant procedures; LUTS/BPH; Simultaneous surgery
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Authors

Roberto Castellucci
roberto.castellucci@gmail.com
Department of Urology ASL Abruzzo 2 Chieti, Italy.
Michele Marchioni
Department of Urology, SS Annunziata Hospital, “G. D’Annunzio” University, Chieti, Italy.
Giuseppe Fasolis
Department of Urology, “S. Lazzaro” Hospital, Alba, Italy.
Francesco Varvello
Department of Urology, “S. Lazzaro” Hospital, Alba, Italy.
Pasquale Ditonno
Department of Emergency and Organ Transplantation, Urology and Andrology Unit II, University of Bari, Italy.
Gaetano Di Rienzo
Department of Emergency and Organ Transplantation, Urology and Andrology Unit II, University of Bari, Italy.
Francesco Greco
Department of Urology, Humanitas “Gavazzeni”, Bergamo, Italy.
Vincenzo Maria Altieri
Department of Urology, Humanitas “Gavazzeni”, Bergamo, Italy.
Antonio Frattini
Department of Urology, “Ercole Franchini” Hospital, Montecchio Emilia, Italy.
Giovanni Ferrari
Department of Urology, “Hesperia” Hospital, Modena, Italy.
Luigi Schips
Department of Urology, SS Annunziata Hospital, “G. D’Annunzio” University, Chieti, Italy.
Luca Cindolo
Department of Urology, Private Hospital Villa Stuart, Rome, Italy.

Objectives: 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.
Material and methods: 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.
Results: 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.
Conclusions: 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.

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How to Cite

Castellucci, R., Marchioni, M., Fasolis, G., Varvello, F., Ditonno, P., Di Rienzo, G., Greco, F., Altieri, V. M., Frattini, A., Ferrari, G., Schips, L., & Cindolo, L. (2020). The safety and feasibility of the simultaneous use of 180-W GreenLight laser for prostate vaporization during concomitant surgery. Archivio Italiano Di Urologia E Andrologia, 92(4). https://doi.org/10.4081/aiua.2020.4.297

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