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Reasons to believe in vaporization: a review of the benefits of photo-selective and transurethral vaporization
- Source :
- World journal of urology. 39(7)
- Publication Year :
- 2020
-
Abstract
- In the current review, we will discuss the state of the literature of vaporization of the prostate for the treatment of benign prostatic enlargement (BPE). We discuss two methods of vaporization of the prostate: Transurethral Vaporization of the Prostate (TUVP) and Greenlight Photo-selective Vaporization of the Prostate (PVP). A comprehensive review of the literature was performed on TUVP and PVP. The literature on transurethral resection of the prostate (TURP) was also extensively reviewed as a comparative surgical method. The evidence shows that TUVP appears to be the safer choice, as compared to TURP due to less intra- and peri-operative complications. PVP was associated with less bleeding complications than TURP with outpatient discharge. Importantly, PVP was not associated with serious bleeding events requiring blood transfusions or medical treatment in patients under anticoagulation or antiplatelet therapies. PVP was also shown to be a cost-effective option compared to TURP. Prostate vaporization for the treatment of BPE appears to be an efficient and safer alternative to TURP. Vaporization techniques, particularly Greenlight PVP, should be offered to most men, especially those under anticoagulation therapy, as well as patients at risk of bleeding complications.
- Subjects :
- Male
medicine.medical_specialty
Urology
medicine.medical_treatment
030232 urology & nephrology
Prostatic Hyperplasia
macromolecular substances
urologic and male genital diseases
Surgical methods
03 medical and health sciences
0302 clinical medicine
Prostate
Vaporization
medicine
Humans
In patient
Transurethral resection of the prostate
Medical treatment
business.industry
technology, industry, and agriculture
Transurethral Resection of Prostate
Prostatic enlargement
medicine.anatomical_structure
Treatment Outcome
030220 oncology & carcinogenesis
Laser Therapy
business
Subjects
Details
- ISSN :
- 14338726
- Volume :
- 39
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- World journal of urology
- Accession number :
- edsair.doi.dedup.....f511681e7b50f52e1e9b7e8037ccf055