Successful Treatment of Bladder Outlet Obstruction With GreenLight Laser Photoselective Vaporization of Prostate Operation for a High-Risk Patient With a Very Large Prostate Volume

A 72-year-old high-risk male presented to our hospital with severe bladder outlet obstruction (BOO) caused by an enlarged prostate with a volume exceeding 130 cc. Subsequently, the patient successfully underwent GreenLight laser (Boston Scientific, Marlborough, MA, USA) photoselective vaporization of the prostate (PVP). The patient had been unsuitable for conventional surgical modalities such as transurethral resection of the prostate (TURP) or open prostatectomy due to multiple pre-existing comorbidities, including coronary artery disease (CAD), atrial fibrillation (AF), and concurrent use of antiplatelet therapy. The GreenLight PVP procedure was uneventful and significantly improved urinary symptoms and the patient's quality of life (QoL). This case demonstrates the effectiveness of GreenLight laser PVP as a minimally invasive and effective treatment option for high-risk patients with large prostate volumes (>100 cc).