title: Outpatient simultaneous treatment of benign prostatic hyperplasia and bladder lithiasis with GreenLight™ and holmium laser.
abstract: OBJECTIVE
  To evaluate our experience in the combined treatment of benign prostatic hyperplasia (BPH) and bladder lithiasis with GreenLight(™) and holmium laser, respectively, on an outpatient basis.
  
  
  METHODS
  From August 2006 to May 2009, 20 patients with prostatic hyperplasia and bladder lithiasis were treated. First, the lithiasis was treated, and then the GreenLight laser vaporization of the prostate was performed, both at the same surgical time and under general anesthesia. Discharge of patients was scheduled 3 to 4 hours after completion of the procedure.
  
  
  RESULTS
  The procedure was simultaneously completed in 19 of 20 patients. The mean stone size was 2.3 (1-4) cm, and the mean prostate volume was 56.5 (30-108) cc. The mean operating time was 115 (50-190) minutes. There was a significant percentage change in maximum flow, postmicturition residual volume, and International Prostate Symptom Score, which were 129.5%, 88.4%, and 68.3%, respectively. All patients were stone free after the procedure.
  
  
  CONCLUSIONS
  The combined transurethral treatment of BPH associated with bladder lithiasis by means of GreenLight laser vaporization and holmium laser lithotripsy on an outpatient basis can be performed safely and yields excellent results.
authors: Department of Urology, Centro de Urología-CDU, Buenos Aires, Argentina. gdelatorrear@yahoo.com
authors: Germán
authors: G
authors: de la Torre
authors: Gabriel
authors: G
authors: Barusso
authors: Víctor
authors: V
authors: Chernobilsky
authors: Marcelo
authors: M
authors: Borghi
authors: Luis
authors: L
authors: Montes de Oca
authors: Edgardo
authors: E
authors: Becher
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D020347:Lithiasis / Q000150:complications* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D011470:Prostatic Hyperplasia / Q000150:complications* / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*