@Article{,
AUTHOR = {Kyle W. Law, Dean S. Elterman, Hannes Cash, Enrique Rijo, Bilal Chughtai, Vincent Misrai, Kevin C. Zorn},
TITLE = {Anatomic GreenLight laser vaporization-incision technique for benign prostatic hyperplasia using the XPS LBO-180W system: How I do it},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {26},
YEAR = {2019},
NUMBER = {5},
PAGES = {9963--9972},
URL = {http://www.techscience.com/CJU/v26n5/60497},
ISSN = {1488-5581},
ABSTRACT = {For men experiencing lower urinary tract symptoms 
(LUTS) refractory to medical therapy, there have been 
numerous developments in the treatment options offered 
for benign prostatic hyperplasia (BPH) in the recent 
years. Transurethral resection of the prostate (TURP) has 
remained the reference standard for men with prostates 
sized 30 cc-80 cc, while open prostatectomy is universally 
guidelines-recommended in the absence of enucleation, 
for men with prostates larger than 80 cc-100 cc. While 
these techniques are effective, they have the potential for 
bleeding complications requiring transfusions, electrolyte 
abnormalities such as TURP syndrome, and often require 
prolonged hospitalization. GreenLight photoselective 
vaporization (GL-PVP) with the XPS LBO-180W 
system offers a minimally invasive treatment that can 
be carried out on essential any sized prostate gland. In 
addition, the GL-PVP procedure can be done as a same 
day discharge surgery requiring no overnight hospital 
admission and allows patients to continue any necessary 
anti-coagulants given the significantly reduced risks of bleeding complications or TURP syndrome. In 2005, the 
anatomic vaporization-incision technique (VIT) using the 
XPS LBO-180W system was described to address larger 
prostate volumes. VIT combines principles of traditional 
GL-PVP and enucleation techniques to identify the 
reference surgical capsule early-on into the surgery and 
resect portions of prostate adenoma without the need for 
tissue morcellation. Early studies comparing anatomic 
VIT to standard PVP outcomes demonstrated significant 
improvements of IPSS and uroflowmetry parameters, 
along with statistically significant greater PSA reduction 
at 6 months, particularly in prostate volumes greater than 
80 cc. The objective of this article is to detail our surgical 
approach to the anatomic GreenLight laser vaporizationincision technique using the XPS LBO-180W system, 
based on extensive personal experience with both 
enucleation and vaporization techniques using various 
laser technologies. Standardization of the VIT based 
on proper cystoscopy, knowledge of prostate anatomy 
with preoperative ultrasound, and routine technique 
is essential to developing consistent, reproducible and 
optimal surgical outcomes.},
DOI = {}
}