[Usefulness of real time transrectal ultrasonography to monitor the Greenlight XPS(®) (180W) laser prostatectomy]

G Fournier; M-A Perrouin-Verbe; G Papin; C Deruelle

doi:10.1016/j.purol.2010.12.002

[Usefulness of real time transrectal ultrasonography to monitor the Greenlight XPS(®) (180W) laser prostatectomy]

Prog Urol. 2011 Jun;21(6):383-6. doi: 10.1016/j.purol.2010.12.002. Epub 2011 Feb 1.

[Article in French]

Authors

G Fournier¹, M-A Perrouin-Verbe, G Papin, C Deruelle

Affiliation

¹ Service de chirurgie urologique, hôpital de la Cavale-Blanche, Brest, France. georges.fournier@chu-brest.fr

PMID: 21620297
DOI: 10.1016/j.purol.2010.12.002

Abstract

We report a technical improvement of the Greenlight(®) XPS prostatectomy by using real time transrectal ultrasonography (TRUS) during the procedure. The TRUS probe lays on a flexible support fastened to the operative table. A wide screen with double display allows the surgeon to control the progress of the procedure with simultaneous ultrasonographic and endoscopic views. The depth of vaporization clearly appears as an hyperechogenic line together with an enlargement of the vaporization area. Real time TRUS monitoring during photovaporization of BPH decreases the learning curve, the risk of prostatic capsule perforation and bleeding, and allows to check the completeness of the procedure.

MeSH terms

Computer Systems
Humans
Laser Therapy*
Male
Monitoring, Intraoperative / methods
Prostatectomy / methods*
Prostatic Hyperplasia / diagnostic imaging*
Prostatic Hyperplasia / surgery*
Rectum
Ultrasonography, Interventional* / methods