{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:26:34Z","timestamp":1740104794828,"version":"3.37.3"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T00:00:00Z","timestamp":1572566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Photovaporization of the prostate (PVP) with GreenLight Laser is a surgical treatment for lower urinary tract symptoms. It is considered safe in elderly patients with comorbidities, however, the evidence is inconclusive. The objective of this study is to evaluate the efficacy and safety outcomes of PVP according to the American Society of Anesthesiologists Physical Status (ASAPS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cohort of 675 patients who underwent PVP between 2012 and 2018 was evaluated. Patients were classified according to their ASAPS as low (I and II) and high risk (III and IV). Surgical characteristics and improvement of symptoms and Quality of Life (QoL) were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median age of high\u2010risk group was higher than low\u2010risk group. The high\u2010risk group had more history of anticoagulation, antiaggregation, urinary catheterization, urinary retention and urethral stricture. Longer times of hospitalization (23.7 [interquartile range {IQR}\u2009=\u200918.9\u201041.35] vs 21.8\u2009hours [IQR\u2009=\u200918.7\u201026.6], <jats:italic>P<\/jats:italic>\u2009=\u2009.008) and catheterization (19.55 [IQR\u2009=\u200915.6\u201035.57] vs 17.67\u2009hours [IQR\u2009=\u200914.76\u201022.5], <jats:italic>P<\/jats:italic>\u2009=\u2009.004) were found in the high\u2010risk group. Conversion and bleeding control were not different between groups. In the follow\u2010up, improvement of International Prostate Symptoms Score (IPSS) and QoL was significant in all patients when compared before and after surgery scores (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). There were no difference between groups for QoL, however, IPSS was lower for the low\u2010risk group (8 [IQR\u2009=\u20094\u201014.5] vs 5 [2\u201012], <jats:italic>P<\/jats:italic>\u2009=\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PVP with GreenLight Laser is a safe and efficient procedure for all patients despite their comorbidities, with comparable middle\u2010term outcomes which makes it a standard treatment for the entire aging population, improving their QoL.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24195","type":"journal-article","created":{"date-parts":[[2019,11,2]],"date-time":"2019-11-02T04:09:46Z","timestamp":1572667786000},"page":"303-309","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Functional outcomes and safety of GreenLight photovaporization of the prostate in the high\u2010risk patient with lower urinary tract symptoms due to benign prostatic enlargement"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5137-944X","authenticated-orcid":false,"given":"Catalina","family":"Barco\u2010Castillo","sequence":"first","affiliation":[{"name":"Department of Urology, Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1 Universidad de los Andes School of Medicine  Bogot\u00e1 D.C Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauricio","family":"Plata","sequence":"additional","affiliation":[{"name":"Department of Urology, Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1 Universidad de los Andes School of Medicine  Bogot\u00e1 D.C Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Zuluaga","sequence":"additional","affiliation":[{"name":"Department of Urology, Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1 Universidad de los Andes School of Medicine  Bogot\u00e1 D.C 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