A Review of Laser Treatment for Symptomatic BPH (Benign Prostatic Hyperplasia)

被引：0
作者：
Shiva Madhwan Nair
Marie Adrianne Pimentel
Peter John Gilling
机构：
[1] Tauranga Public Hospital,Department of Urology
来源：
Current Urology Reports | 2016年 / 17卷
关键词：
Benign prostatic hyperplasia; Laser; Enucleation; Ablation; Efficacy; Complications;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Benign prostatic hyperplasia (BPH) is the predominant cause of bladder outflow obstruction and is associated with significant morbidity. Surgical removal of adenoma has been a key treatment principle for alleviation of obstruction. Lasers have been used as an alternative to transurethral resection of the prostate (TURP), due to the higher complications of the latter procedure, since the early 1990s. Early generations of lasers utilized coagulative and ablative techniques to dis-obstruct the bladder. Ablative techniques have remained popular with the resurgence of 532-nm vaporization (commonly known as GreenLight). Enucleation techniques especially with the holmium laser have shown durable efficacy in randomized controlled trials whilst new modalities such as thulium still require long-term data. This review examines the most common types of laser technology used in BPH surgery, with a focus on efficacy and side effect profile.
引用
收藏
相关论文
共 280 条
  • [1] Kahokehr AA(2013)Which laser works best for benign prostatic hyperplasia? Curr Urol Rep 14 614-9
  • [2] Gilling PJ(2011)Critical review of lasers in benign prostatic hyperplasia (BPH) BJU Int 107 1030-43
  • [3] Gravas S(2014)Enucleation techniques for benign prostate obstruction: which one and why? Curr Opin Urol 24 49-55
  • [4] Bachmann A(2013)Holmium laser enucleation of the prostate versus transurethral resection of the prostate: a systematic review and meta-analysis of randomized controlled trials Journal of Endourol 27 604-11
  • [5] Reich O(2012)Long-term results of a randomized trial comparing holmium laser enucleation of the prostate and transurethral resection of the prostate: results at 7 years BJU Int 109 408-11
  • [6] Roehrborn CG(2009)Holmium laser applications of the prostate Urol Clin North Am 36 485-95
  • [7] Gilling PJ(1998)Holmium laser enucleation of the prostate (HoLEP) combined with transurethral tissue morcellation: an update on the early clinical experience J Endourol 12 457-9
  • [8] De La Rosette J(2013)Technical aspects of holmium laser enucleation of the prostate for benign prostatic hyperplasia Korean J Urol 54 570-9
  • [9] Kahokehr A(2013)Holmium laser enucleation of the prostate: a paradigm shift in benign prostatic hyperplasia surgery Ther Adv Urol 5 245-53
  • [10] Gilling PJ(2012)Holmium laser enucleation of the prostate technique for benign prostatic hyperplasia Can J Urol 19 6131-4
12345678910