Does greenlight HPS™ laser photoselective vaporization prostatectomy affect sexual function?

Massimiliano Spaliviero, Kurt H. Strom, Xiao Gu, Motoo Araki, Daniel J. Culkin, Carson Wong

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Purpose: We evaluate the impact of GreenLight High-Performance System (HPS™) laser photoselective vaporization prostatectomy (PVP) on sexual function after treatment of lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). Patients and Methods: We prospectively evaluated our initial single surgeon experience with GreenLight HPS™ laser PVP. All patients had American Urological Association Symptom Score (AUASS), Sexual Health Inventory for Men (SHIM), maximum flow rate (Qmax), and postvoid residual (PVR) determinations. Transurethral PVP was performed using a 120W GreenLight HPS™ side-firing laser system. AUASS, SHIM, Qmax, and PVR were evaluated 1, 4, 12, 24, and 52 weeks postsurgery. Wilcoxon signed rank test and the Student t-test were used to assess the changes from baseline. Results: Seventy-two patients completed 52 weeks of follow-up, having a median age of 69 (45-89) years. The median prostate volume was 62 (21-263) mL. Median AUASS improved significantly from 23 to 8, 6, 5, 5, and 4 (P5); and 3.2%, 3.2%, 15.2%, 17.7%, and 19.3% of patients had improvement of erectile function (SHIM increase >5). Incidence of new-onset retrograde ejaculation was 30%. Conclusion: GreenLight HPS™ laser PVP appears to not have a detrimental effect on erectile function.

Original languageEnglish
Pages (from-to)2051-2057
Number of pages7
JournalJournal of Endourology
Volume24
Issue number12
DOIs
Publication statusPublished - Dec 1 2010
Externally publishedYes

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Laser Therapy
Prostatectomy
Reproductive Health
Equipment and Supplies
Lower Urinary Tract Symptoms
Ejaculation
Volatilization
Prostatic Hyperplasia
Nonparametric Statistics
Prostate
Lasers
Students
Incidence
Therapeutics

ASJC Scopus subject areas

  • Urology

Cite this

Does greenlight HPS™ laser photoselective vaporization prostatectomy affect sexual function? / Spaliviero, Massimiliano; Strom, Kurt H.; Gu, Xiao; Araki, Motoo; Culkin, Daniel J.; Wong, Carson.

In: Journal of Endourology, Vol. 24, No. 12, 01.12.2010, p. 2051-2057.

Research output: Contribution to journalArticle

Spaliviero, Massimiliano ; Strom, Kurt H. ; Gu, Xiao ; Araki, Motoo ; Culkin, Daniel J. ; Wong, Carson. / Does greenlight HPS™ laser photoselective vaporization prostatectomy affect sexual function?. In: Journal of Endourology. 2010 ; Vol. 24, No. 12. pp. 2051-2057.
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