V1024 STEP BY STEP TECHNIQUE OF PHOTOSELECTIVE VAPORIZATION WITH THE GREENLIGHT XPS 180 W LASER FOR PROSTATIC ADENOMAS > 80 CC

Abstract

You have accessJournal of UrologyMale Voiding Dysfunction (BPH & Incontinence) & Infection1 Apr 2012V1024 STEP BY STEP TECHNIQUE OF PHOTOSELECTIVE VAPORIZATION WITH THE GREENLIGHT XPS 180 W LASER FOR PROSTATIC ADENOMAS > 80 CC Marie Aimee Perrouin Verbe, Maxime Thoulouzan, Francky Delage, and Georges Fournier Marie Aimee Perrouin VerbeMarie Aimee Perrouin Verbe Brest, France More articles by this author , Maxime ThoulouzanMaxime Thoulouzan Brest, France More articles by this author , Francky DelageFrancky Delage Brest, France More articles by this author , and Georges FournierGeorges Fournier Brest, France More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1128AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The Greenlight XPS 180W laser and the MoXy liquid-cooled fiber provide up to 180W lasing energy and increase the surface of tissue treated with the laser beam. When compared with the Greenlight HPS 120W laser, this device increases the vaporization speed and allows the management of prostatic adenomas larger than 80 cc. METHODS For all procedures we used real time transrectal ultrasonography navigation, and a 23 Fr cystoscope with a 30° lens. Vaporization starts at the bladder neck. The first step is the creation of a central channel at the lower power of 120W to create a working space and improve irrigation, then the power can be increased up to 180W and the lateral lobes are lasered from the bladder neck to the veru montanum. Maximal efficiency of vaporization, assessed by bubbles generation, is obtained with a working distance of the laser from the tissue between 1 and 3 mm. At the end of the procedure, lasing energy must be decreased under 100W at the level of bladder neck and near the prostate capsule. RESULTS The Greenlight 180W XPS laser provides a faster vaporization when compared with the Greenlight 120W HPS laser. CONCLUSIONS This device allows the management of patients with prostatic adenomas larger than 80cc, which usually undergo open prostatectomy, in a safe manner and with an acceptable operative time. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e417 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Marie Aimee Perrouin Verbe Brest, France More articles by this author Maxime Thoulouzan Brest, France More articles by this author Francky Delage Brest, France More articles by this author Georges Fournier Brest, France More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...