GreenLight laser tied to shorter catheterization times and hospital stays compared to TURP for BPH

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2024-01-12T04:00:58+05:30 | Updated On 12 Jan 2024 4:01 AM IST

GreenLight laser tied to shorter catheterization times and hospital stays compared to Transurethral resection of the prostate for benign prostatic hyperplasia suggests a new study published in the Urology.

Most aging men experience lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). While medical therapy can initially treat men with bothersome LUTS, many patients experience inadequate symptom relief or intolerance to oral medications. In such cases, or if men desire to stop medication, surgical treatment may be indicated

A study was conducted to compare perioperative outcomes and complications between GreenLight and Transurethral resection of the prostate for benign prostatic hyperplasia. A systematic review and random effects meta-analysis of randomized trials comparing GreenLight with Transurethral resection of the prostatewas completed. Primary outcomes included periprocedural milestones, 12 pre-defined complications, Clavien-Dindo class III-V complications, reoperations (all-cause), and a composite of reoperations and readmissions. Metaregression assessed the relationship between patient- and study-level factors with periprocedural outcomes and reoperation rates.Results:The review included 13 randomized trials with 1,757 patients. Procedure time was 10 minutes longer with GreenLight, while catheterization time and hospital stay were shorter. Bleeding-related complications, including clot retention and transfusion, as well as sexual dysfunction, were less frequent with GreenLight. All other complications occurred at similar frequencies between groups. The risks of reoperation and reoperation or readmission did not differ. GreenLight achieved shorter catheterization times and hospital stays with lower rates of sexual dysfunction and bleeding-related complications compared to Transurethral resection of the prostate.

Reference:

Bradley C. Gill, Larry E. Miller, Samir Bhattacharyya, Hannes Cash, Gregg R. Eure. Complications of GreenLight Laser versus Transurethral Resection of the Prostate for Treatment of Lower Urinary Tract Symptoms: Meta-analysis of Randomized Trials, Urology, 2024, ISSN 0090-4295. https://doi.org/10.1016/j.urology.2023.12.018

(https://www.sciencedirect.com/science/article/pii/S0090429523011251)

Keywords: GreenLight laser, catheterization times, hospital stays, TURP, BPH, Urology, BPH; GreenLight; LUTS; meta-analysis; TURP, Bradley C. Gill, Larry E. Miller, Samir Bhattacharyya, Hannes Cash, Gregg R. Eure, benign prostatic hyperplasia, Transurethral resection of the prostate

GreenLight lasercatheterization timeshospital staysTURPBPH

Source : Urology

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751