Greenlight XPS laser photoselective vapourization of prostate (PVP) in high risk patients
BAUS ePoster online library. Waters D. Jun 27, 2018; 211372; P8-11
Darragh Waters
Darragh Waters
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Abstract
Rate & Comment (0)
Introduction: Recent NICE guidance supports greenlight XPS P.V.P. as being at least as effective as TURP in non-high risk patients but notices there is insufficient high quality comparative evidence to support the routine adoption of XPS laser P.V.P. in high-risk patients.
NICE identifies high-risk patients as:

• High risk of bleeding,
• Prostate > 100 mls,
• Urinary retention.

Methods: This retrospective study reviews a single surgeon's experience of treating high risk patients with XPS PVP. All patients had laser PVP while taking anti-coagulants, anti-platelet agents or both.

Patients:
n= 374 were treated.
n = 91 had urinary retention (AUR)
n = 103 age > 80 years
n = 54 had prostates > 80mls

Mean age = 71 years (44-96 yrs)
Haematuria from BPH = 40
Troublesome L.U.T.S. = 243
54% were classed ASA III
5.4% were classed ASA IV

Results:
There were no perioperative blood transfusions.
n = 301 were managed with Bananno supra-pubic catheter (SPC) (proxy for no haematuria)
n = 40 Bananno SPC & temporary haematuria (UC 1-2 hours).
n = 25 U.C. on irrigation overnight.
n = 270 Discharged Day 1 post-op.
n = 10 Re-admitted with clot retention.
n = 12 Re-admitted with recurrent retention.

Conclusion: This retrospective study shows that in experienced hands XPS laser PVP is a safe and effective treatment in patients with one or more high-risk factors. Despite all patients having significant co-morbidities the incidence of cardiovascular and haematological complications were less than those reported for TURP in non- high-risk patients.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings