{"id":12809,"date":"2025-08-01T12:42:18","date_gmt":"2025-08-01T16:42:18","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/photoselective-vaporization-of-the-prostate-pvp\/"},"modified":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","slug":"vaporizacao-fotosseletiva-da-prostata-pvp","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/vaporizacao-fotosseletiva-da-prostata-pvp\/","title":{"rendered":"Vaporiza\u00e7\u00e3o Fotosseletiva da Pr\u00f3stata (PVP)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-12809","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"<p>A vaporiza\u00e7\u00e3o fotosseletiva da pr\u00f3stata (PVP) \u00e9 um procedimento a laser minimamente invasivo que utiliza um laser de luz verde de alta pot\u00eancia para remover seletivamente o excesso de tecido prost\u00e1tico que causa a obstru\u00e7\u00e3o urin\u00e1ria.<sup>1<\/sup> O procedimento emprega um laser com comprimento de onda de 532 nm, absorvido especificamente pela hemoglobina do tecido prost\u00e1tico, o que resulta em vaporiza\u00e7\u00e3o r\u00e1pida e remo\u00e7\u00e3o precisa do tecido aumentado.<sup>2<\/sup> Durante a PVP, uma fibra fina \u00e9 introduzida pela uretra por meio de um cistosc\u00f3pio, permitindo que o cirurgi\u00e3o aplique a energia do laser que vaporiza rapidamente o tecido prost\u00e1tico obstrutivo, criando um campo cir\u00fargico praticamente sem sangramento.<sup>3<\/sup> Essa t\u00e9cnica cria efetivamente um canal amplo atrav\u00e9s da pr\u00f3stata, restaurando imediatamente o fluxo natural de urina e aliviando os sintomas do trato urin\u00e1rio inferior associados \u00e0 hiperplasia prost\u00e1tica benigna (HPB).<sup>4<\/sup><\/p>","gt-synonyms":"PVP, prostatectomia a laser GreenLight, GreenLight PVP, cirurgia a laser PVP, tratamento com laser de luz verde, vaporiza\u00e7\u00e3o fotosseletiva da pr\u00f3stata, terapia a laser GreenLight XPS","gt-citation":"[1] Chughtai B, Te AE. Photoselective vaporization of the prostate for treating benign prostatic hyperplasia. Expert Rev Med Devices. 2011 Sep;8(5):591-5. DOI: 10.1586\/erd.11.25\n\n[2] Te AE, Malloy TR, Stein BS, Ulchaker JC, Nseyo UO, Hai MA, Malek RS. Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia: 12-month results from the first United States multicenter prospective trial. J Urol. 2004 Oct;172(4 Pt 1):1404-8. DOI: 10.1097\/01.ju.0000139541.68542.f6\n\n[3] Zang YC, Deng XX, Yang DR, Xue BX, Xu LJ, Liu XL, Zhou YB, Shan YX. Photoselective vaporization of the prostate with GreenLight 120-W laser versus transurethral resection of the prostate for benign prostatic hyperplasia: a systematic review with meta-analysis of randomized controlled trials. Lasers Med Sci. 2016 Feb;31(2):235-40. DOI: 10.1007\/s10103-015-1843-1\n\n[4] Pascoe C, Ow D, Perera M, et al. Optimising patient outcomes with photoselective vaporization of the prostate (PVP): a review. Transl Androl Urol. 2017 Jul;6(Suppl 2):S133-S141. DOI: 10.21037\/tau.2017.05.14. PMID: 28791232","gt-clinical-context":"<p>A vaporiza\u00e7\u00e3o fotosseletiva da pr\u00f3stata \u00e9 utilizada principalmente no tratamento da hiperplasia prost\u00e1tica benigna (HPB) em homens com sintomas do trato urin\u00e1rio inferior (LUTS) moderados a graves.<sup>1<\/sup> Esse procedimento \u00e9 particularmente ben\u00e9fico para pacientes que n\u00e3o responderam adequadamente ao tratamento medicamentoso ou que desejam evitar o uso prolongado de medicamentos.<sup>2<\/sup><\/p>\n    \n    <p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes incluem volumes prost\u00e1ticos normalmente entre 30-80 ml, embora pr\u00f3statas maiores tamb\u00e9m possam ser tratadas de forma eficaz.<sup>3<\/sup> A PVP oferece vantagens significativas para pacientes em terapia anticoagulante ou com dist\u00farbios de coagula\u00e7\u00e3o, pois as propriedades hemost\u00e1ticas do procedimento resultam em perda sangu\u00ednea m\u00ednima em compara\u00e7\u00e3o com as abordagens cir\u00fargicas tradicionais.<sup>4<\/sup><\/p>\n    \n    <p>O procedimento cir\u00fargico \u00e9 normalmente realizado sob anestesia geral ou raquidiana, em regime ambulatorial. O cirurgi\u00e3o introduz um cistosc\u00f3pio pela uretra at\u00e9 a pr\u00f3stata e, em seguida, aplica a energia do laser por meio de uma fibra especializada para vaporizar o tecido obstrutivo.<sup>1<\/sup> A maioria dos pacientes apresenta melhora imediata do fluxo urin\u00e1rio, e estudos mostram aumentos significativos do fluxo m\u00e1ximo (Qmax), de m\u00e9dias basais de 7,8 ml\/s para 22,6 ml\/s aos 12 meses ap\u00f3s o procedimento.<sup>2<\/sup><\/p>\n    \n    <p>A recupera\u00e7\u00e3o geralmente \u00e9 r\u00e1pida, e a maioria dos pacientes necessita de sondagem por menos de 24 horas \u2014 muitos ficam sem sonda logo ap\u00f3s o procedimento.<sup>3<\/sup> Os pacientes normalmente retornam \u00e0s atividades normais em 2-3 dias, com dor p\u00f3s-operat\u00f3ria m\u00ednima.<sup>3<\/sup> Os resultados de longo prazo mostram melhora sustentada dos sintomas urin\u00e1rios, com estudos relatando redu\u00e7\u00f5es no escore do \u00cdndice de Sintomas da American Urological Association (AUA-SI) de 23,9 para 4,3 aos 12 meses ap\u00f3s o procedimento.<sup>2<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":82},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Vaporiza\u00e7\u00e3o Fotosseletiva da Pr\u00f3stata (PVP): Laser Verde | Rigicon<\/title>\n<meta name=\"description\" content=\"Guia sobre PVP, vaporiza\u00e7\u00e3o prost\u00e1tica a laser verde para HPB. 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