Laser treatment is just as effective as surgery, less invasive and costs
TORONTO, Nov. 26, 2013 /CNW/ - An Ontario study, published in the Canadian Urological Association Journal and at Health Quality Ontario (HQO), provides new evidence that laser treatment is just as effective as
surgery for the treatment of urinary problems caused by noncancerous
enlargement of the prostate gland.
As the prostate increases in size, also known as benign prostatic
hyperplasia (BPH), men can experience many urinary problems including
complete blockage. The problem is more common as men get older. In men
over 60 years of age, 50%, will have an enlarged prostate and in men
over 85, 90% will have an enlarged prostate.
Since 1930 the problem has been treated by surgery that removes part of
the prostate with a special instrument placed through the penis. This
removes the obstruction and allows the urine to flow more freely and
the bladder to empty more completely. There are a number of risks and
side effects to the surgery in addition to pain.
Now there is a new approach using laser. The new technique, called
photoselective vaporization of the prostate (PVP), is an innovative,
bloodless, less invasive and relatively painless alternative to the
traditional surgical approach. The question was whether the new
approach is as effective and HQO commissioned a two-year study of PVP.
"The study found that PVP is just as effective as surgery, requires less
time in hospital and results in lower rates of post-operative
complications," says Dr. Paul Whelan, one of the study's authors and a
urologist at St. Joseph's Healthcare Hamilton. "This is one of the most
significant advancements in treating benign prostatic hyperplasia that
I have seen."
The field evaluation was conducted by Programs for Assessment of
Technology in Health (PATH) Research Institute, an important part of
St. Joseph's Healthcare Hamilton's research team. Three Ontario
hospitals, including St. Joseph's Healthcare Hamilton, collaborated to
provide patients for the study. The GreenLight™ HPS-120 laser used in
the research was loaned by the American Medical Systems.
"The study found that PVP appears to provide similar or better clinical
benefits to traditional surgery, at a lower cost to the health system,"
says Dr. Leslie Levin, Vice President of HQO's Evidence Development and
Standards branch. "Based on the evidence, HQO's Ontario Health
Technology Advisory Committee recommended that PVP be considered as an
alternative to TURP. This change could result in better patient
experiences and outcomes, while at the same time freeing up inpatient
beds and significant funds for other uses."
Health Quality Ontario
Health Quality Ontario works in partnership with Ontario's health care
system to support a better experience of care, better outcomes for
Ontarians and better value for money. Health Quality Ontario's
legislated mandate under the Excellent Care for All Act, 2010 is to monitor and report to the people of Ontario on the
quality of their health care system; to support continuous quality
improvement; and to promote health care that is supported by the best
available scientific evidence. Health Quality Ontario is an arms-length
agency of the Ontario government. Visit www.hqontario.ca for more information.
Programs for the Assessment of Health in Technology (PATH) Research
The Programs for Assessment of Technology in Health (PATH) Research Institute was established in 2003 and is based at St. Joseph's
Healthcare Hamilton, but has strong affiliations with McMaster
University as well. The PATH Research Institute conducts and promotes
evidence-based evaluations of the effectiveness and efficiency of new
and existing health care technologies. PATH has extensive expertise in
conducting literature reviews, evidence synthesis, biostatistics,
economic evaluation, costing, budget impact analysis, decision analytic
modeling, policy analysis, health systems impact analysis, and
techniques of research translation and knowledge uptake for new policy
formation. PATH contributes extensively to policy decision-making at
both the provincial and national level and is very active in
collaborative research with academia, government, clinicians and
industry at the national and international level.
St. Joseph's Healthcare Hamilton
St. Joseph's Healthcare Hamilton is a regional leader in patient-centred
care providing acute care, research, teaching, community and
international outreach programs throughout our network. Founded in 1890
by the Sisters of St. Joseph in 1890, St. Joe's spans three specialized
campuses in the Greater Hamilton Area (Charlton Campus, West 5th Campus and King Street Campus), with St. Joseph's Villa Dundas
providing long-term care and St. Joseph's Home Care providing
personalized home care traversing the reach of our region. For more
information about St. Joseph's Healthcare Hamilton, please visit www.stjoes.ca.
SOURCE: Health Quality Ontario
For further information:
Neil McMullin I Senior Communications Advisor, Health Quality Ontario, Toronto I
T: 416.323.6868 ext. 163 I E: email@example.com I TW: @HQOntario
For media interviews with Dr. Paul Whelan please contact:
Megan Bieksa | Senior Specialist, Media & Strategic Issues
St. Joseph's Healthcare Hamilton | T: 905.522.1155 ext. 33037 | C: 905.975.2944 | E: firstname.lastname@example.org | TW: @STJOESHAMILTON