Patient satisfaction with laser therapy

Patient satisfaction with laser therapy



The value of laser therapy in BPH

Benign prostatic hyperplasia (BPH) is characterised by the development of lower urinary tract symptoms (LUTS), including voiding and storage problems, and has an increasing incidence in men over the age of 50 years.1,2 TURP is the current standard surgical procedure for men with prostate sizes of 30-80 mL and bothersome moderate-to-severe LUTS secondary of BPO.3 Alternative therapy methods are being considered, including laser therapy.3

Our laser therapy portfolio has the ability to deliver benefits to your patients in three key areas:

1.
Technological advancements

 


2.
Durable efficacy


3.
Patient satisfaction

Holmium Lasers

Lumenis PulseTM 120H Holmium Laser System with MOSESTM Technology provides 15% faster enucleation and 40% quicker hemostasis* than a standard holmium laser.8 The improvements in hemostasis can lead to better vision clarity and control, physicians can learn the HoLEP technique and build confidence after 20 procedures supervised by an experienced urologist.8-10

Learn more about the benefits of the MOSESTM Technology:

Download the brochure
     *15% faster enucleation - (p=0.01) 40% quicker hemostasis - (p<0.001)

Greenlight

At Boston Scientific, we continue to improve and develop our laser treatment portfolio. The GreenLight XPSTM Laser Therapy System has advanced technical specifications, with a maximum power of 180W and an improved beam geometry of the MoXyTM fiber.7
Download the brochure


References

1. Barry MJ, Roehrborn CG. Benign Prostatic Hyperplasia. BMJ. 2001;323:1042–1046.
2. Egan KB. The Epidemiology of Benign Prostatic Hyperplasia Associated with Lower Urinary Tract Symptoms: Prevalence and Incident Rates. Urol Clin North Am. 2016;43(3):289–297.
3. EAU Guidelines
4. Capitán C, Blázquez C, Martin MD, et al. GreenLight HPS 120-W Laser Vaporization Versus Transurethral Resection of the Prostate for the Treatment of Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia: A Randomized Clinical Trial With 2-Year Follow-Up. Eur Urol. 2011;60(4):734–739.
5. Bachmann A, Tubaro A, Barber N, et al. 180-W XPS GreenLight Laser Vaporization Versus Transurethral Resection of the Prostate for the Treatment of Benign Prostatic Obstruction: 6-Month Safety and Efficacy Results of a European Multicentre Randomized Trial -The GOLIATH Study. Eur Urol. 2014;65(5):931–942.
6. Catheter Removal on the Same Day of Holmium Laser Enucleation of the Prostate: Outcomes of a Pilot Study by Deepak K. Agarwal, Marcelino E. Rivera, Charles U. Nottingham, Tim Large, and AmyE.Krambeck in Urology. 2020 Dec; 146: 225–229) 7. Data on File with Boston Scientific.
7: Data on file with Boston Scientific
8 Large T, Nottingham C, Stoughton C, et al. Comparative study of holmium laser enucleation of the prostate with MOSES enabled pulsed laser modulation. Urology. 2020;136:196–201.
9. Nevo A, Faraj KS, Cheney SM, et al. Holmium laser enucleation of the prostate using MOSES 2.0 vs non‐MOSES: a randomised controlled trial. BJU Int. 2021;127(5):553–559.
10. El‐Hakim A, Elhilali MM. Holmium laser enucleation of the prostate can be taught: the first learning experience. BJU Int. 2002;90(9):863–869.
11. GreenLight XPS Directions for Use.
12. Lumenis Pulse Directions for Use.
13. Ajib K, Mansour M, Zanaty M, et al. Photoselective vaporization of the prostate with the 180-W XPS Greenlightlaser: Five-year experience of safety, efficiency and functional outcomes. Can Urol Assoc J. 2018;12(7):E318–E324.
14. Elmansy HM, Kotb A, Elhilali MM. Holmium laser enucleation of the prostate: long-term durability of clinical outcomes and complication rates during 10 years of followup. J Urol. 2011;186(5):1972–1976.
15. Calves J, Thoulouzan M, Perrouin-Verbe MA, et al. Long-Term Patient-Reported Clinical Outcomes and Reoperation Rate After Photovaporization with the XPS-180W GreenLight Laser. Eur Urol Focus. 2019;5(4):676–680.
16. Gilling PJ, Aho TF, Frampton CM, et al. Holmium Laser Enucleation of the Prostate: Results at 6 Years. Eur Urol. 2008;53(4):744–749
17. Lerner LB, McVary KT, Barry MJ, et al. Management of lower urinary tract symptoms attributed to benign prostatic hyperplasia: AUA Guideline 2021. J Urol. 2021;206:806
18. Agarwal DK, Rivera ME, Nottingham CU, et al. Catheter removal on the same day of holmium laser enucleation of the prostate: Outcomes of a pilot study. Urology. 2020;146:225‐9.

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