title: A prospective, randomized comparative study of monopolar transurethral resection of the prostate versus photoselective vaporization of the prostate with GreenLight 120-W laser, in prostates less than 80 cc.
abstract: OBJECTIVE
  In this study we aimed to compare photoselective vaporization (PVP) with the GreenLight 120-W Laser and monopolar transurethral resection as surgical treatments of prostates less than 80 cc in men with obstructive benign prostatic hyperplasia.
  
  
  METHODS
  From February 2009 to March 2012 we allocated 101 patients with a prostate glands of less than 80 cc; patients were randomly assigned for surgical treatment with monopolar transurethral resection of the prostate (TURP) (n = 62) or PVP (n = 39). Serum prostate specific antigen (PSA), International Prostate Symptom Score (IPSS), Sexual Health Inventory for Men (SHIM), maximum flow rate (Qmax) postmicturition residual (PMR), transrectal ultrasound volumes (TRUS), postvoid urine residual (PVR), complications, re-operations and hospitalization time were collected. The patients were seen in the follow up at 6, 12 and 24 months.
  
  
  RESULTS
  Median age was 69 (56-87) years old in the TURP group and 67 (51-87) years old in the PVP group. Mean preoperative prostate volume was 55 cc (40-72) and 60 cc (41-75) cc in the TURP group versus the PVP group. There was no statistically difference in subjectively (IPSS, SHIM) and objectively (Qmax-PMR) parameters and postoperatively complication rates between the two groups (p > 0.05). A significant difference was observed in the PVP group with a 2 (1-4) days hospital stay compared with 5 (3-9) days for the TURP group (p  < 0.001).
  
  
  CONCLUSIONS
  Prostate PVP and TURP are effective surgical treatments for benign prostatic hyperplasia. Postoperative functional improvements were durable and equivalent in the two groups. The two techniques have a similar complication rate.
authors: Department of Urology, Ankara University School of Medicine, Sihhiye, Ankara, Turkey.
authors: Onur
authors: O
authors: Telli
authors: Department of Urology, School of Medicine, Ankara University, Ankara, Turkey.
authors: Tolga Muharrem
authors: TM
authors: Okutucu
authors: Department of Urology, School of Medicine, Ankara University, Ankara, Turkey.
authors: Evren
authors: E
authors: Suer
authors: Department of Urology, School of Medicine, Ankara University, Ankara, Turkey.
authors: Berk
authors: B
authors: Burgu
authors: Department of Urology, School of Medicine, Ankara University, Ankara, Turkey.
authors: Omer
authors: O
authors: Gulpinar
authors: Department of Urology, School of Medicine, Ankara University, Ankara, Turkey.
authors: Onder
authors: O
authors: Yaman
authors: Department of Biostatistics and Medical Informatics, School of Medicine, Akdeniz University, Antalya, Turkey.
authors: Selen
authors: S
authors: Bozkurt
keywords: GreenLight; photoselective vaporization of prostate; prostatectomy; prostatic hyperplasia; transurethral resection of prostate
references: Eur Urol. 2005 Dec;48(6):965-71; discussion 972
references: 16126327
references: Eur Urol. 2011 Oct;60(4):734-9
references: 21658839
references: Eur Urol. 2005 Jun;47(6):798-804
references: 15925076
references: Eur Urol. 2014 May;65(5):931-42
references: 24331152
references: Eur Urol. 1999;36 Suppl 3:1-6
references: 10559624
references: BMJ. 2010 May 19;340:c2354
references: 20484350
references: Urology. 2004 Dec;64(6):1155-9
references: 15596189
references: J Sex Med. 2007 Nov;4(6):1701-7
references: 17672845
references: Urology. 2002 Aug;60(2):305-8
references: 12137831
references: Eur Urol. 2008 Oct;54(4):893-901
references: 18486311
references: Urology. 2008 Feb;71(2):247-51
references: 18308094
references: J Urol. 1995 Nov;154(5):1770-4
references: 7563343
references: Eur Urol. 2011 Oct;60(4):809-25
references: 21726934
references: J Urol. 1989 Feb;141(2):243-7
references: 2643719
references: Eur Urol. 2010 Sep;58(3):349-55
references: 20605316
references: J Urol. 2004 Jun;171(6 Pt 1):2502-4
references: 15126885
references: Eur Urol. 2010 Aug;58(2):207-11
references: 20466480
references: Curr Opin Urol. 2009 Jan;19(1):33-7
references: 19057213
references: Eur Urol. 2012 Jun;61(6):1165-73
references: 22341632
references: Cochrane Database Syst Rev. 2004;(1):CD001987
references: 14973978
references: J Endourol. 2003 Oct;17(8):587-93
references: 14622477
references: J Urol. 2005 Jan;173(1):158-60
references: 15592063