Greenlight XPS 180W Prostate Laser Treatment of Male BPH (Benign Prostatic Hyperplasia)

The following video highlights the benefits and techniques of the newest generation 180W Greenlight XPS laser system for the management of male BPH (benign prostatic hyperplasia). Previously, TURP, a procedure in which an electrical loop is used to cut specimens of the prostate (with risks of 4-8% transfusions, electrolyte anomalies, and prolonged hospitalization of 2-3 days) however is limited to smaller prostates less than 100g and men who are not taking any anticoagulation medications. The Greenlight laser has the advantages of little to no bleeding, no electrolyte anomalies since normal saline is used for irrigation, and is performed as an outpatient surgery. The procedure can also be offered to men with large prostates (greater than 100g), men taking blood thinner medications and those with significant comorbidities. The 3rd generation of Greenlight XPS (AMS) offers the greatest strength laser power at 180W and significantly reduces 40-50% operative times. We are proud to offer our patients the surgical management of BPH care.

Category:

Science & Technology

Tags:

• BPH
• benign
• prostate
• urologie
• urology
• CHUM
• McGill
• Montreal
• laser
• Greenlight
• PVP
• XPS
• 180W
• AMS
• canada

[DrKevinZorn]

With regards to apical treatment, this is saved to the end of the procedure where the energy is reduced to 80-100W. Care is made to avoid damage to the sphincter. While I have not seen direct injury to the sphincter, I have seen in 2 men (older >80) with weak sphincteric control and musculature after treatment who had stress incontience- they were well treated with Physiotherapy

[DrKevinZorn]

Dear Grigorios,

Great question. We have recently published on our technique.

GreenLight 180W XPS photovaporization of the prostate: how I do it.

Zorn KC, Liberman D.

Can J Urol. 2011 Oct;18(5):5918-26.

[GrigoriosSakkas]

Dear colleague,i like your video but please tell me what power do you use near the colliculus and if you have seen any sphincter damage with the XPS.

[easezgin]

Thank you for this video and the informative commentary.