MP13-10 PERIOPERATIVE AND FUNCTIONAL OUTCOMES OF GREENLIGHT 180-W PHOTOVAPORIZATION IN LARGE (>80 CC) PROSTATES: AN ANALYSIS FROM 7 CENTERS IN THE INTERNATIONAL GLOBAL GREENLIGHT GROUP

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You have accessJournal of UrologyCME1 Apr 2023MP13-10 PERIOPERATIVE AND FUNCTIONAL OUTCOMES OF GREENLIGHT 180-W PHOTOVAPORIZATION IN LARGE (>80 CC) PROSTATES: AN ANALYSIS FROM 7 CENTERS IN THE INTERNATIONAL GLOBAL GREENLIGHT GROUP Nicholas Corsi, David-Dan Nguyen, Adel Arezki, Iman Sadri, Kyle Law, David Bouhadana, Claudia Deyirmendjian, Naeem Bhojani, Dean S. Elterman, Franck Bruyère, Luca Cindolo, Giovanni Ferrari, Carlos Vasquez-Lastra, Tiago Borelli-Bovo, Edgardo F. Becher, Hannes Cash, Maximillian Reimann, Enrique Rijo, Vincent Misrai, Bilal Chughtai, and Kevin C. Zorn Nicholas CorsiNicholas Corsi More articles by this author , David-Dan NguyenDavid-Dan Nguyen More articles by this author , Adel ArezkiAdel Arezki More articles by this author , Iman SadriIman Sadri More articles by this author , Kyle LawKyle Law More articles by this author , David BouhadanaDavid Bouhadana More articles by this author , Claudia DeyirmendjianClaudia Deyirmendjian More articles by this author , Naeem BhojaniNaeem Bhojani More articles by this author , Dean S. EltermanDean S. Elterman More articles by this author , Franck BruyèreFranck Bruyère More articles by this author , Luca CindoloLuca Cindolo More articles by this author , Giovanni FerrariGiovanni Ferrari More articles by this author , Carlos Vasquez-LastraCarlos Vasquez-Lastra More articles by this author , Tiago Borelli-BovoTiago Borelli-Bovo More articles by this author , Edgardo F. BecherEdgardo F. Becher More articles by this author , Hannes CashHannes Cash More articles by this author , Maximillian ReimannMaximillian Reimann More articles by this author , Enrique RijoEnrique Rijo More articles by this author , Vincent MisraiVincent Misrai More articles by this author , Bilal ChughtaiBilal Chughtai More articles by this author , and Kevin C. ZornKevin C. Zorn More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003233.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: GreenLight photoselective vaporization of the prostate (PVP) has gained widespread adoption as an option to traditional transurethral resection of the prostate. However, prior reports expressed concern with the use of PVP in large prostates. The aim of this study was to investigate the adjusted outcomes of Greenlight PVP in men with larger prostates (≥80 cc) from the largest international experience METHODS: Data were obtained from the Global Greenlight Group which pools data from 7 high volume centers. Men with established benign prostatic hyperplasia who underwent GreenLight PVP using the XPS-180 W system between 2011-2019 were eligible and assigned into two groups based on their prostate size (≥80 cc and <80 cc). 11 functional and perioperative covariates were collected. Analyses were adjusted for patient age and presence of median lobe. RESULTS: 3,426 men met the inclusion criteria. 34.6% (n=1,187) patients had a large prostate size. Baseline age and prostate volume were significantly different between the groups. The magnitude of absolute improvement in unadjusted international prostate symptom score was significantly greater in the large (≥80 cc) prostate group at 12 months, with an absolute change of 19.17 points (95% CI: 18.46 – 19.88; Figure 1, p<0.01). There was also a significant drop in PVR at both 6- (p=0.007) and 12-months (p=0.005). There were no significant differences in transfusion (p=0.42), hematuria (p=0.80), or 30-day readmission rates (p=0.28). CONCLUSIONS: Our results from >3000 patients suggest Greenlight PVP-180 W is a safe and effective alternative for patients with prostate sizes ≥80 cc, with outcomes relatively independent from prostate size. Source of Funding: N/A © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e177 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nicholas Corsi More articles by this author David-Dan Nguyen More articles by this author Adel Arezki More articles by this author Iman Sadri More articles by this author Kyle Law More articles by this author David Bouhadana More articles by this author Claudia Deyirmendjian More articles by this author Naeem Bhojani More articles by this author Dean S. Elterman More articles by this author Franck Bruyère More articles by this author Luca Cindolo More articles by this author Giovanni Ferrari More articles by this author Carlos Vasquez-Lastra More articles by this author Tiago Borelli-Bovo More articles by this author Edgardo F. Becher More articles by this author Hannes Cash More articles by this author Maximillian Reimann More articles by this author Enrique Rijo More articles by this author Vincent Misrai More articles by this author Bilal Chughtai More articles by this author Kevin C. Zorn More articles by this author Expand All Advertisement PDF downloadLoading ...