Skip to main content
Erschienen in: International Urology and Nephrology 4/2014

01.04.2014 | Urology - Original Paper

The efficacy and safety of simultaneous transurethral GreenLight photoselective vaporization of bladder tumor and prostate in patients with bladder tumor and lower urinary tract symptoms

verfasst von: Zhaoyi Li, Ruipeng Hou, Jian Li

Erschienen in: International Urology and Nephrology | Ausgabe 4/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

We compared the safety and efficacy of simultaneous transurethral GreenLight photoselective vaporization of bladder tumor and prostate (PVBT/PVP) in patients with bladder tumor and bladder outlet obstruction caused by benign prostate hyperplasia (BPH).

Methods

Sixty-two patients with bladder tumor were enrolled in our prospective and randomized trial. A total of 37 men underwent simultaneous transurethral PVBT/PVP, and 25 patients underwent PVBT alone. The clinicopathological parameters and the recurrence of bladder tumor on the bladder neck/prostatic fossa were evaluated in all patients.

Results

Clinicopathological parameters of both groups were similar. The rates of recurrence, progression and tumor recurrence of bladder neck/prostatic fossa were 16.0, 4.0 and 4.0 % in the simultaneous resection group, and 18.9, 5.4 and 8.1 % in the group PVBT, respectively. No statistically significant differences were found between the two groups (P > 0.05).

Conclusions

Simultaneous PVBT/PVP may help decrease the overall recurrence rate and tumor recurrence in bladder neck/prostatic fossa. PVBT/PVP can be performed effectively and safely in patients with bladder tumor and BPH.
Literatur
1.
2.
Zurück zum Zitat Sylvester RJ, van der Meijden AP, Oosterlinck W, Witjes JA, Bouffioux C, Denis L, Newling DW, Kurth K (2006) Predicting recurrence and progression in individual patients with stage Ta T1 bladder cancer using EORTC risk tables: a combined analysis of 2596 patients from seven EORTC trials. Eur Urol 49:466–467 discussion 475–467PubMedCrossRef Sylvester RJ, van der Meijden AP, Oosterlinck W, Witjes JA, Bouffioux C, Denis L, Newling DW, Kurth K (2006) Predicting recurrence and progression in individual patients with stage Ta T1 bladder cancer using EORTC risk tables: a combined analysis of 2596 patients from seven EORTC trials. Eur Urol 49:466–467 discussion 475–467PubMedCrossRef
3.
Zurück zum Zitat Bushman W (2009) Etiology, epidemiology, and natural history of benign prostatic hyperplasia. Urol Clin North Am 36:403–415PubMedCrossRef Bushman W (2009) Etiology, epidemiology, and natural history of benign prostatic hyperplasia. Urol Clin North Am 36:403–415PubMedCrossRef
4.
Zurück zum Zitat Hinman F Jr (1956) Recurrence of bladder tumors by surgical implantation. J Urol 75:695–696PubMed Hinman F Jr (1956) Recurrence of bladder tumors by surgical implantation. J Urol 75:695–696PubMed
5.
Zurück zum Zitat Gomez Sancha F, Bachmann A, Choi BB, Tabatabaei S, Muir GH (2007) Photoselective vaporization of the prostate (GreenLight PV): lessons learnt after 3500 procedures. Prostate Cancer Prostatic Dis 10:316–322PubMedCrossRef Gomez Sancha F, Bachmann A, Choi BB, Tabatabaei S, Muir GH (2007) Photoselective vaporization of the prostate (GreenLight PV): lessons learnt after 3500 procedures. Prostate Cancer Prostatic Dis 10:316–322PubMedCrossRef
6.
Zurück zum Zitat Chen CH, Chiang PH, Chuang YC, Lee WC, Chen YT (2010) Preliminary results of prostate vaporization in the treatment of benign prostatic hyperplasia by using a 200-W high-intensity diode laser. Urology 75:658–663PubMedCrossRef Chen CH, Chiang PH, Chuang YC, Lee WC, Chen YT (2010) Preliminary results of prostate vaporization in the treatment of benign prostatic hyperplasia by using a 200-W high-intensity diode laser. Urology 75:658–663PubMedCrossRef
7.
Zurück zum Zitat Nargund VH, Tanabalan CK, Kabir MN (2012) Management of non-muscle-invasive (superficial) bladder cancer. Semin Oncol 39:559–572PubMedCrossRef Nargund VH, Tanabalan CK, Kabir MN (2012) Management of non-muscle-invasive (superficial) bladder cancer. Semin Oncol 39:559–572PubMedCrossRef
8.
Zurück zum Zitat Berry SJ, Coffey DS, Walsh PC, Ewing LL (1984) The development of human benign prostatic hyperplasia with age. J Urol 132:474–479PubMed Berry SJ, Coffey DS, Walsh PC, Ewing LL (1984) The development of human benign prostatic hyperplasia with age. J Urol 132:474–479PubMed
9.
Zurück zum Zitat Djavan B, Nickel JC, de la Rosette J, Abrams P (2002) The urologist view of BPH progression: results of an international survey. Eur Urol 41:490–496PubMedCrossRef Djavan B, Nickel JC, de la Rosette J, Abrams P (2002) The urologist view of BPH progression: results of an international survey. Eur Urol 41:490–496PubMedCrossRef
10.
Zurück zum Zitat Kadlubar FF, Dooley KL, Teitel CH, Roberts DW, Benson RW, Butler MA, Bailey JR, Young JF, Skipper PW, Tannenbaum SR (1991) Frequency of urination and its effects on metabolism, pharmacokinetics, blood hemoglobin adduct formation, and liver and urinary bladder DNA adduct levels in beagle dogs given the carcinogen 4-aminobiphenyl. Cancer Res 51:4371–4377PubMed Kadlubar FF, Dooley KL, Teitel CH, Roberts DW, Benson RW, Butler MA, Bailey JR, Young JF, Skipper PW, Tannenbaum SR (1991) Frequency of urination and its effects on metabolism, pharmacokinetics, blood hemoglobin adduct formation, and liver and urinary bladder DNA adduct levels in beagle dogs given the carcinogen 4-aminobiphenyl. Cancer Res 51:4371–4377PubMed
11.
Zurück zum Zitat Michaud DS, Spiegelman D, Clinton SK, Rimm EB, Curhan GC, Willett WC, Giovannucci EL (1999) Fluid intake and the risk of bladder cancer in men. N Engl J Med 340:1390–1397PubMedCrossRef Michaud DS, Spiegelman D, Clinton SK, Rimm EB, Curhan GC, Willett WC, Giovannucci EL (1999) Fluid intake and the risk of bladder cancer in men. N Engl J Med 340:1390–1397PubMedCrossRef
12.
Zurück zum Zitat Kang D, Chokkalingam AP, Gridley G, Nyren O, Johansson JE, Adami HO, Silverman D, Hsing AW (2007) Benign prostatic hyperplasia and subsequent risk of bladder cancer. Br J Cancer 96:1475–1479PubMedCentralPubMedCrossRef Kang D, Chokkalingam AP, Gridley G, Nyren O, Johansson JE, Adami HO, Silverman D, Hsing AW (2007) Benign prostatic hyperplasia and subsequent risk of bladder cancer. Br J Cancer 96:1475–1479PubMedCentralPubMedCrossRef
13.
Zurück zum Zitat Pode D, Alon Y, Horowitz AT, Vlodavsky I, Biran S (1986) The mechanism of human bladder tumor implantation in an in vitro model. J Urol 136:482–486PubMed Pode D, Alon Y, Horowitz AT, Vlodavsky I, Biran S (1986) The mechanism of human bladder tumor implantation in an in vitro model. J Urol 136:482–486PubMed
14.
Zurück zum Zitat Soloway MS, Masters S (1980) Urothelial susceptibility to tumor cell implantation: influence of cauterization. Cancer 46:1158–1163PubMedCrossRef Soloway MS, Masters S (1980) Urothelial susceptibility to tumor cell implantation: influence of cauterization. Cancer 46:1158–1163PubMedCrossRef
15.
Zurück zum Zitat Vicente J, Chechile G, Pons R, Mendez G (1988) Tumor recurrence in prostatic urethra following simultaneous resection of bladder tumor and prostate. Eur Urol 15:40–42PubMed Vicente J, Chechile G, Pons R, Mendez G (1988) Tumor recurrence in prostatic urethra following simultaneous resection of bladder tumor and prostate. Eur Urol 15:40–42PubMed
16.
Zurück zum Zitat Tsivian A, Shtricker A, Sidi AA (2003) Simultaneous transurethral resection of bladder tumor and benign prostatic hyperplasia: hazardous or a safe timesaver? J Urol 170:2241–2243PubMedCrossRef Tsivian A, Shtricker A, Sidi AA (2003) Simultaneous transurethral resection of bladder tumor and benign prostatic hyperplasia: hazardous or a safe timesaver? J Urol 170:2241–2243PubMedCrossRef
17.
Zurück zum Zitat Ugurlu O, Gonulalan U, Adsan O, Kosan M, Oztekin V, Cetinkaya M (2007) Effects of simultaneous transurethral resection of prostate and solitary bladder tumors smaller than 3 cm on oncologic results. Urology 70:55–59PubMedCrossRef Ugurlu O, Gonulalan U, Adsan O, Kosan M, Oztekin V, Cetinkaya M (2007) Effects of simultaneous transurethral resection of prostate and solitary bladder tumors smaller than 3 cm on oncologic results. Urology 70:55–59PubMedCrossRef
18.
Zurück zum Zitat Elshal AM, Elmansy HM, Elhilali MM (2013) Transurethral laser surgery for benign prostate hyperplasia in octogenarians: safety and outcomes. Urology 81:634–639PubMedCrossRef Elshal AM, Elmansy HM, Elhilali MM (2013) Transurethral laser surgery for benign prostate hyperplasia in octogenarians: safety and outcomes. Urology 81:634–639PubMedCrossRef
19.
Zurück zum Zitat Woo H, Thangasamy I, Chalasani V (2013) Photoselective vaporization with the green light laser vs transurethral resection of the prostate for treating benign prostate hyperplasia: a systematic review and meta-analysis. BJU Int 111:E137PubMedCrossRef Woo H, Thangasamy I, Chalasani V (2013) Photoselective vaporization with the green light laser vs transurethral resection of the prostate for treating benign prostate hyperplasia: a systematic review and meta-analysis. BJU Int 111:E137PubMedCrossRef
20.
Zurück zum Zitat Malek RS, Kuntzman RS, Barrett DM (2005) Photoselective potassium-titanyl-phosphate laser vaporization of the benign obstructive prostate: observations on long-term outcomes. J Urol 174:1344–1348PubMedCrossRef Malek RS, Kuntzman RS, Barrett DM (2005) Photoselective potassium-titanyl-phosphate laser vaporization of the benign obstructive prostate: observations on long-term outcomes. J Urol 174:1344–1348PubMedCrossRef
21.
Zurück zum Zitat Mohanty NK, Vasudeva P, Kumar A, Prakash S, Jain M, Arora RP (2012) Photoselective vaporization of prostate vs. transurethral resection of prostate: a prospective, randomized study with one year follow-up. Indian J Urol 28:307–312PubMedCentralPubMedCrossRef Mohanty NK, Vasudeva P, Kumar A, Prakash S, Jain M, Arora RP (2012) Photoselective vaporization of prostate vs. transurethral resection of prostate: a prospective, randomized study with one year follow-up. Indian J Urol 28:307–312PubMedCentralPubMedCrossRef
22.
Zurück zum Zitat Mosli HA, Abdel-Meguid TA, Abdulwahhab MH, Al-Sayyad A, Farsi HM, Tayib A (2013) Photoselective vaporization of the prostate using GreenLight 120-W lithium triborate laser to treat symptomatic benign prostatic hyperplasia: A single-centre prospective study. Can Urol Assoc J 7:193–196 Mosli HA, Abdel-Meguid TA, Abdulwahhab MH, Al-Sayyad A, Farsi HM, Tayib A (2013) Photoselective vaporization of the prostate using GreenLight 120-W lithium triborate laser to treat symptomatic benign prostatic hyperplasia: A single-centre prospective study. Can Urol Assoc J 7:193–196
23.
Zurück zum Zitat Teng J, Zhang D, Li Y, Yin L, Wang K, Cui X, Xu D (2013) Photoselective vaporization with the green light laser vs transurethral resection of the prostate for treating benign prostate hyperplasia: a systematic review and meta-analysis. BJU Int 111:312–323 Teng J, Zhang D, Li Y, Yin L, Wang K, Cui X, Xu D (2013) Photoselective vaporization with the green light laser vs transurethral resection of the prostate for treating benign prostate hyperplasia: a systematic review and meta-analysis. BJU Int 111:312–323
24.
Zurück zum Zitat Zang Y, Xue B, Zhang Y, Yang D, Gao J, Sun C, Cui Y, Tao W, Chen D, Shan Y (2012) Photoselective vaporization of the prostate with GreenLight HPS 120-W laser for benign prostatic hyperplasia: 36 months’ follow-up. Urol Int 89:203–207PubMedCrossRef Zang Y, Xue B, Zhang Y, Yang D, Gao J, Sun C, Cui Y, Tao W, Chen D, Shan Y (2012) Photoselective vaporization of the prostate with GreenLight HPS 120-W laser for benign prostatic hyperplasia: 36 months’ follow-up. Urol Int 89:203–207PubMedCrossRef
25.
Zurück zum Zitat Hai MA, Malek RS (2003) Photoselective vaporization of the prostate: initial experience with a new 80 W KTP laser for the treatment of benign prostatic hyperplasia. J Endourol 17:93–96PubMedCrossRef Hai MA, Malek RS (2003) Photoselective vaporization of the prostate: initial experience with a new 80 W KTP laser for the treatment of benign prostatic hyperplasia. J Endourol 17:93–96PubMedCrossRef
26.
Zurück zum Zitat Malek RS, Barrett DM, Kuntzman RS (1998) High-power potassium-titanyl-phosphate (KTP/532) laser vaporization prostatectomy: 24 hours later. Urology 51:254–256PubMedCrossRef Malek RS, Barrett DM, Kuntzman RS (1998) High-power potassium-titanyl-phosphate (KTP/532) laser vaporization prostatectomy: 24 hours later. Urology 51:254–256PubMedCrossRef
27.
Zurück zum Zitat Li J, Hou R, Zhang Z, Li Z, Zhang Y, Feng Q (2010) Curative effectiveness of GreenLight photoselective laser vaporization and electrocautery transurethral resection for superficial bladder tumors. J Clin Urol 25:586–588 Li J, Hou R, Zhang Z, Li Z, Zhang Y, Feng Q (2010) Curative effectiveness of GreenLight photoselective laser vaporization and electrocautery transurethral resection for superficial bladder tumors. J Clin Urol 25:586–588
28.
Zurück zum Zitat Liu W, Li T (2007) Photoselective vaporization for the treatment of superficial bladder cancer. Chin J Mod Med 17:2418–2420 Liu W, Li T (2007) Photoselective vaporization for the treatment of superficial bladder cancer. Chin J Mod Med 17:2418–2420
29.
Zurück zum Zitat Jin C, Xu Y, Wu D, Sa Y, Chen B (2007) Potassium-titanyl-phosphate laser vaporization in the treatment of superficial bladder tumor. J Clin Urol 22:343–344 Jin C, Xu Y, Wu D, Sa Y, Chen B (2007) Potassium-titanyl-phosphate laser vaporization in the treatment of superficial bladder tumor. J Clin Urol 22:343–344
Metadaten
Titel
The efficacy and safety of simultaneous transurethral GreenLight photoselective vaporization of bladder tumor and prostate in patients with bladder tumor and lower urinary tract symptoms
verfasst von
Zhaoyi Li
Ruipeng Hou
Jian Li
Publikationsdatum
01.04.2014
Verlag
Springer Netherlands
Erschienen in
International Urology and Nephrology / Ausgabe 4/2014
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-013-0572-2

Weitere Artikel der Ausgabe 4/2014

International Urology and Nephrology 4/2014 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.