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Updated: Feb 13, 2026

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GreenLight Laser for benign prostatic hyperplasia.

Livio Mordasini1, Marco Moschini1, Agostino Mattei1

  • 1Department of Urology, Luzerner Kantonsspital, Spitalstrasse, Lucerne.

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This summary is machine-generated.

GreenLight photoselective vaporization (GL-PV) is a safe and effective treatment for benign prostatic enlargement, comparable to TURP. Ongoing research will determine its long-term efficacy against emerging competitors.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Benign prostatic enlargement (BPE) affects a significant portion of the aging male population.
  • Transurethral resection of the prostate (TURP) has been the traditional surgical standard for BPE.
  • GreenLight photoselective vaporization (GL-PV) has emerged as a leading alternative treatment.

Purpose of the Study:

  • To review the technical aspects of GL-PV.
  • To summarize current evidence on the functional and safety outcomes of GL-PV.
  • To discuss future technical advancements in GL-PV.

Main Methods:

  • Review of technical armamentarium for GL-PV.
  • Synthesis of published data on functional and safety outcomes.
  • Analysis of comparative studies with TURP and other laser technologies.

Main Results:

  • GL-PV (180-W) is non-inferior to TURP in functional outcomes with an 80% complication-free rate at 24 months.
  • High-power lasers offer effective tissue ablation and shorter operating times.
  • GL-PV is cost-effective, suitable for outpatient procedures, with low re-admission rates.

Conclusions:

  • GL-PV is a well-tolerated surgical option for benign prostatic obstruction (BPO).
  • Long-term data for 120-W and 180-W systems are pending.
  • Surgeon experience is critical for optimal outcomes, and new competitors are emerging.