Abstract:
PURPOSE:GreenLight HPS™ laser photoselective vaporization prostatectomy (PVP) is a treatment option for lower urinary tract symptoms secondary to benign prostatic hyperplasia. We review our experience using the 120 W GreenLight HPS laser system. MATERIALS AND METHODS:We prospectively evaluated our experience with GreenLight HPS laser PVP. All patients who failed medical therapy underwent GreenLight HPS laser PVP (C.W.). All had American Urological Association Symptom Score, Quality of Life score, Sexual Health Inventory for Men, American Society of Anesthesiologists risk score, serum prostate-specific antigen, maximum flow rate, and postvoid residual determinations and volumetric measurements with transrectal ultrasonography. Transurethral PVP was performed using a GreenLight HPS side-firing laser system. RESULTS:170 consecutive patients were identified, having a mean age of 67.4±9.5 years. The mean prostate volume was 65.3±36.7 mL and mean American Society of Anesthesiologists score was 2.3±0.7. Mean laser time, operating time, and energy usage were 14.1±10.5 minutes, 33.5±24.7 minutes, and 95.0±72.3 kJ, respectively. All were outpatient procedures with 100 (58.8%) patients catheter-free at discharge. 35 (20.5%) and 26 (15.3%) patients had follow-up of 24 and 36 months, respectively. Eight (4.7%) patients developed a urinary tract infection. No bladder neck contracture or urethral stricture were reported. American Urological Association Symptom Score, Quality of Life, maximum flow rate, and postvoid residual showed immediate and stable improvement from baseline (p<0.05) that has been durable to 36 months. The Sexual Health Inventory for Men score did not change postoperatively. CONCLUSIONS:Our intermediate results suggest that GreenLight HPS laser PVP is safe, effective, and durable for the treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Gu X,Strom K,Spaliviero M,Wong Cdoi
10.1089/end.2010.0512subject
Has Abstractpub_date
2011-06-01 00:00:00pages
1037-41issue
6eissn
0892-7790issn
1557-900Xjournal_volume
25pub_type
临床试验,杂志文章abstract:INTRODUCTION/PURPOSE:Medical simulation offers the advantage of improving resident skill and comfort without impacting patient care. Five years ago, we identified trends in the use of robotic and laparoscopic simulation in 2008 and 2009 at American urology residency training programs. We seek to identify the changes in...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0561
更新日期:2016-03-01 00:00:00
abstract::Two women with symptomatic stone-filled caliceal diverticula were treated by a retroperitoneoscopic approach. With a three-port technique, the diverticulum was marsupialized, the calculi removed, the cavity fulgurated, and perirenal fat inserted. The patients had no morbidity and remain stone and symptom free. They re...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2004.18.672
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Nucleation, growth, and aggregation are considered to be the principal crystallization mechanisms in stone development. It is important to understand their relative significance so that appropriate experimental models can be used, and to identify the best therapeutic targets. The aim of this stud...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.605
更新日期:1999-11-01 00:00:00
abstract:PURPOSE:The impact of drainage type after percutaneous nephrolithotomy (PCNL) on the health-related quality of life (HRQoL) has been rarely studied. We conducted a prospective randomized study to evaluate the differences in HRQoL among patients who received different drainage types. METHODS:A total of 90 patients who ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2017.0444
更新日期:2017-11-01 00:00:00
abstract::To determine the effectiveness of a radiation awareness program in reducing the radiation exposure to patients treated by a Medstone lithotripter, the exposure was calculated at the end of each extracorporeal shockwave (SWL) treatment using a table of measurements of the estimated entrance exposure rates 70 cm from th...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.223
更新日期:1998-06-01 00:00:00
abstract::Lumbar ureteral benign stenosis can be managed by laparoscopy. Prevention of repeat strictures after ureteral anastomosis includes the placement of a ureteral catheter. When laparoscopy is used to perform the anastomosis, a second position is needed to insert the Double J stent. We provide a way to place the double pi...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0153
更新日期:2008-11-01 00:00:00
abstract:: Objective: To determine if radiologically diagnosed nonalcoholic fatty liver disease (NAFLD) is an independent risk factor for nephrolithiasis using data from National Health and Nutrition Examination Survey III (NHANES III). Patients and Methods: ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0486
更新日期:2020-12-01 00:00:00
abstract:: Introduction: There has been a surge in robotic surgery research publications over the past 20 years. However, to date, there has been no characterization of urology's contribution to the robotic field, and there is a lack of bibliometric literature to guide future investi...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0866
更新日期:2019-05-01 00:00:00
abstract:: Objective: To assess the effectiveness of laser lithotripsy in different holmium:yttrium aluminum garnet (Ho-YAG) laser settings with a wide range of energies, frequencies, and power. Materials and Methods: Two types of phantom...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0370
更新日期:2019-10-01 00:00:00
abstract:INTRODUCTION:Expert-reported outcomes and complications may not reflect the standardized coding that can be provided by independent, third-party evaluations. The goal of this article is to compare expert-reported complications with standardized coding by the National Surgical Quality Improvement Program (NSQIP). The pr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0178
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:To evaluate in vitro and in vivo effects of Moses technology in Holmium laser and to compare it with the Regular mode in terms of lithotripsy efficiency and laser-tissue interactions. METHODS:The Lumenis® Pulse™ P120H holmium laser system together with Moses D/F/L fibers were used to compare the Regular mode...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0050
更新日期:2017-06-01 00:00:00
abstract:: Objectives: To evaluate the outcomes of robot-assisted partial nephrectomy (RAPN) in cystic renal tumors. Materials and Methods: We retrospectively analyzed patients who underwent RAPN for either cystic (n = 46) or solid (n = 2...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0994
更新日期:2021-01-06 00:00:00
abstract:BACKGROUND:Although more than a decade of experience with laparoscopic radical nephrectomy indicates it is an alternative to open surgery for localized renal-cell carcinoma (RCC), the long-term oncologic effectiveness of this procedure remains to be established. MATERIALS AND METHODS:A thorough MEDLINE and PubMed lite...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2005.19.628
更新日期:2005-07-01 00:00:00
abstract::Abstract Laparoscopic retroperitoneal lymph node dissection (RPLND) has been shown to be safe and effective in appropriately selected pediatric and adolescent patients with paratesticular rhabdomyosarcoma (RMS) and testicular germ-cell tumors (T-GCT). While the use of robot-assisted laparoscopy has expanded rapidly ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0214
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy of doxazosin in inducing spontaneous passage of stones in the distal ureter and to compare its efficacy according to the size of the stone. PATIENTS AND METHODS:Seventy-three patients with a mean age of 46.38 +/- 10.17 years who presented with a distal-ureteral stone were divided into ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.0107
更新日期:2007-05-01 00:00:00
abstract::A case of a foreign body-induced renal stone in which the patient was treated successfully with a ureterorenoscopic approach is presented. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.437
更新日期:1999-07-01 00:00:00
abstract:PURPOSE:To determine whether day-case surgery (DS) laparoscopic pyeloplasty (LP) is feasible and safe. PATIENTS AND METHODS:Thirty-two consecutive patients, planned for DS LP between March 2006 and January 2010 at a single urologic center, were enrolled in this retrospective observational study. Every patient underwen...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0486
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVES:To determine the accuracy of the surgeon's impression as to the stone-free rate at the end of percutaneous nephrolithotomy (PCNL), and to evaluate predictors for inaccurate estimation. MATERIALS AND METHODS:A prospective study conducted between 2010 and 2015. Surgeon's impression, categorized as "insignific...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0005
更新日期:2018-06-01 00:00:00
abstract::A 42-year-old man undergoing bilateral laparoscopic hernia repair requested vasectomy for family planning purposes. Bilateral vasectomy was done by a laparoscopic approach at the time of extraperitoneal hernia repair, and a separate scrotal incision was avoided. In addition to reporting a case of laparoscopic vasectom...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/089277902753619618
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Criteria for determining the durability of the response to transrectal high-intensity focused ultrasound (HIFU) ablation of prostate cancer have been established by calculating progression-free probability. PATIENTS AND METHODS:A series of 82 patients (mean age 71 +/- 5.7 years) with biopsy-prov...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2000.14.519
更新日期:2000-08-01 00:00:00
abstract::Partial nephrectomy (PN) is a technically challenging procedure, making selection of appropriate patients paramount to a successful operation. To identify patients at increased risk of an adverse outcome after PN, there are a number of scoring systems available. The nephrometry score was initially described in a serie...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0202
更新日期:2013-12-01 00:00:00
abstract::Endopyelotomy is currently advocated for management of the obstructed ureteropelvic junction (UPJ). Healing of the stented UPJ occurs by secondary intention. Regardless of the method employed, success rates approach 85%. In order to increase the rate of success, we have devised a method of performing endopyelotomy in ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.1996.10.147
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Clinical and surgical factors predict renal function decline after laparoscopic partial nephrectomy (LPN). Additional histopathologic predictors may be found in the specimen's nonneoplastic tissue but were not studied. This study investigated the significance of histologic findings in addition to...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0646
更新日期:2011-09-01 00:00:00
abstract::Seminal vesicle cysts associated with other genitourologic abnormalities are rare. We describe the first known robot-assisted excision of a cystic seminal vesicle associated with ipsilateral renal agenesis in a symptomatic pediatric patient. The patient was discharged home on postoperative day 1 and remains symptom fr...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2006.0279
更新日期:2007-07-01 00:00:00
abstract:PURPOSE:To investigate a new method and its effect on the procedure of dilating the ejaculatory duct and flushing the seminal vesicle with an F9 seminal vesicle scope in patients with chronic and recurrent seminal vesiculitis. PATIENTS AND METHODS:Twenty-six patients with a diagnosis based to signs, laboratory detecti...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2010.0456
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to determine the efficacy of short-duration use of finasteride and dutasteride before transurethral resection of the prostate (TURP) on intraoperative blood loss and microvessel density (MVD) of prostate stroma and suburethral tissues in benign prostatic hyperplasia (BPH). METHODS:T...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2016.0696-rev
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The introduction of radiofrequency ablation (RFA) into other fields of surgery has fueled the interest to study its application in small renal masses (SRM). Some controversies remain, however, regarding its oncologic efficacy. We review technical factors and tissue characteristics that influence ...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2009.0677
更新日期:2010-05-01 00:00:00
abstract:INTRODUCTION:Kidney stone disease (KSD) affects millions of people worldwide and has an increasing incidence. Social media (SoMe) and search engines are both gaining in usage, while also being used by patients to research their conditions and aid in managing them. With this in mind, many authors have expressed the beli...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0319
更新日期:2018-08-01 00:00:00
abstract:PURPOSE:The purpose of this study was to measure the accuracy of stone-specific algorithms (S-mode) and the posterior acoustic shadow for determining kidney stone size with ultrasound (US) in vivo. MATERIALS AND METHODS:Thirty-four subjects with 115 renal stones were prospectively recruited and scanned with S-mode on ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0341
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Extrinsic ureteral compression challenges a ureteral stent's ability to facilitate urinary drainage and to protect the kidney. Our purpose was to evaluate the performance of new metallic coil-based ureteral stents in terms of tensile strength and radial compression force. MATERIALS AND METHODS:T...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0332
更新日期:2012-03-01 00:00:00