Comparison of 180W Greenlight-XPS laser vaporisation and transurethral resection of the prostate: Comfort for patients and healthcare staff in clinical routine practice Vergleich von 180-Watt-XPS-Greenlight-Laserung und transurethraler Elektroresektion der Prostata: Patienten- und Personalkomfort in der klinischen Routine
Lichtenberg T, Wiedemann A, Heppner HJ (2020)
Publication Type: Journal article
Publication year: 2020
Journal
Book Volume: 51
Pages Range: 59-64
Journal Issue: 1
DOI: 10.1055/a-1069-7103
Abstract
Background Transurethral resection of the prostate (TUR-P) is considered the gold standard in the surgical treatment of symptomatic benign prostatic hyperplasia. Besides the conventional TUR-P, there are numerous technological modifications of the procedure. An increasing use of the 180W Greenlight-XPS™ laser vaporisation of the prostate (GLL) has been observed recently. Objective TUR-P and GLL have already been studied for safety, efficacy and economy. The aim of the present study was to analyse patient-related postsurgical aspects such as patient comfort and pain. Methods A total of 250 consecutive patients (100 TUR-P and 150 GLL) were analysed by examining anonymised medical records. Information on resection weight (TUR-P), applied energy (GLL), prostate volume, antiplatelet/anticoagulant therapy, catheter size, length of catheterisation, length of bladder irrigation, length of hospital stay and postoperative pain score was gathered. Results The prostate volume was comparable between the two procedures (p=0.434). The proportion of patients with ongoing antiplatelet and anticoagulant therapy was significantly higher with GLL (p<0.0001). The catheter size was comparable with no statistical difference (p=0.102). Length of catheterisation and duration of bladder irrigation were significantly shorter with GLL (p=0.016 and p=0.01). While the length of hospital stay was not statistically different (p=0.233), a tendency to shorter hospital stays was seen with GLL. A similar postoperative pain score was observed with a low pain level in general and the highest scores being recorded shortly after the procedure. Conclusions The results demonstrate that GLL - a procedure preferably used for patients with ongoing antiplatelet and anticoagulant therapy - provides a high experience of postoperative comfort and offers potential for savings in terms of nursing resources (duration and intensity of bladder irrigation).
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APA:
Lichtenberg, T., Wiedemann, A., & Heppner, H.J. (2020). Comparison of 180W Greenlight-XPS laser vaporisation and transurethral resection of the prostate: Comfort for patients and healthcare staff in clinical routine practice Vergleich von 180-Watt-XPS-Greenlight-Laserung und transurethraler Elektroresektion der Prostata: Patienten- und Personalkomfort in der klinischen Routine. Aktuelle Urologie, 51(1), 59-64. https://doi.org/10.1055/a-1069-7103
MLA:
Lichtenberg, Tobias, Andreas Wiedemann, and Hans Jürgen Heppner. "Comparison of 180W Greenlight-XPS laser vaporisation and transurethral resection of the prostate: Comfort for patients and healthcare staff in clinical routine practice Vergleich von 180-Watt-XPS-Greenlight-Laserung und transurethraler Elektroresektion der Prostata: Patienten- und Personalkomfort in der klinischen Routine." Aktuelle Urologie 51.1 (2020): 59-64.
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