This trial was a randomized trial of green light laser vs. TURP at 2 community hospitals. Primary endpoint was IPSS scores at 6 months. Prostate size was similar, about 50cc. IPSS decreased 15 points in both groups at 6 months. Flow rates increased 9cc in both groups, and post-void residuals were greater in the PVP group. SHIM scores remained stable in both groups from pre- to post-procedure. The SHIM scores were lower to start with in the PVP group. PVP procedural length was 64 minutes compared with 44 minutes for TURP. 127 of 132 PVP patients had their treatment as outpatients compared with a 1.4 hospital day stay for the TURP arm. 46% of PVP had antegrade ejaculation and 4 required reinsertion of a catheter. Median time off work with PVP was 3 days. Limitations include the fact that this trial was non-randomized.
He concluded that outcomes are similar to TURP with lower costs.
Presented by J. Paul Whelan, MD at the American Urological Association (AUA) Annual Meeting - May 14 - 19, 2011 - Walter E. Washington Convention Center, Washington, DC USA
Reported for UroToday by Christopher P. Evans, MD, FACS, Professor and Chairman, Department of Urology, University of California, Davis, School of Medicine.
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