Categorized | Prostate Treatment

Resection and Vaporatization Treatments for BPH about Equally Safe

Carlos Capitan, MD, and colleagues at the Hospital Universitario Fundacion Alcorcon, Universidad Rey Juan Carlos in Madrid have found that improvements in symptoms of benign prostatic hyperplasia are similar after treatment by transurethral resection of the prostate (TURP) or photoselective vaporization of the prostate (PVP) by laser, and complication rates are the same.  Length of stay, however, is significantly shorter with laser treatment.  PVP results in a higher preservation of ejaculation than TURP.  The team published their findings in European Urology.

They used a randomized trial to determine the efficacy and safety of GreenLight HPS 120-W laser PVP compared with TURP in 100 patients with lower urinary tract symptoms due to BPH.

On average, hospital stay was 2 days shorter in the PVP group than in the TURP group.

At a two-year post-treatment follow-up, International Prostate Symptom Scores (IPSS) had dropped significantly and by almost the same degree in both groups, but improvements were seen more rapidly in the laser group.  Similar patterns were seen in changes of quality-of-life scores, which were nearly identical in both groups at two years.  The authors report that retrograde ejaculation was recognized in 65% of patients treated by TURP and in 34.7% of patients treated by PVP.

Complication rates were statistically equivalent in the two arms.  Three PVP patients were readmitted to the hospital, and two developed a urethral stricture.  In the TURP group, two patients were readmitted, six developed a urethral stricture, and two developed bladder neck sclerosis.

In summary, the team found that GreenLight HPS 120-W laser PVP is just as effective as TURP in symptom reduction, and the complication rate is about the same.

3 Responses to “Resection and Vaporatization Treatments for BPH about Equally Safe”

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