GREEN LIGHT LASER (XPS) VAPORISATION OF LARGER PROSTATE: SINGLE CENTRE EXPERIENCE.

Introduction and Objective:To evaluate the efficacy and safety of photo-selective vaporisation of prostate using Lithium Triborate Green Light System (180 watts) for benign prostatic hyperplasia (BPH) patients with prostate size more than 100 ml. Methods: We investigated 22 cases of BPH from November 2012 to August 2013. Efficacy in terms of maximum urinary flow rate (Q max), international prostate symptom score (IPSS), post-void residual urine (PVR) and quality of life were recorded. The operative time, hospital stay and catheter removal time was analysed. The follow up data was recorded postoperatively at1 week, 4 weeks and 3 months. Results: The Mean age was 68.8 years, mean prostate volume was 126.77 cc and mean S. PSA was 3.6 ng/dl. The mean lasing time was 3.04 gms/min and mean catheterization time was 1.27 days. The reduction of prostate size and serum PSA levels at three months was 69 to 94 % and 73 to 96 % respectively. Dysuria rates within first post-operative week were9%.Conclusions: The Green light XPS (Extreme Performance System) is aversatile energy source with effective outcomes for BPH patients even with higher sizes of prostates (>100 grams) with minimal complication rates and side effect profile