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：
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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.
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  • [11] Yin L(2013)Experience with more than 1,000 holmium laser prostate enucleations for benign prostatic hyperplasia J Urol 189 S141-5
  • [12] Teng J(2011)Holmium laser enucleation of the prostate: long-term durability of clinical outcomes and complication rates during 10 years of follow-up J Urol 186 1972-6
  • [13] Huang CJ(2012)Feasibility of holmium laser enucleation of the prostate (HoLEP) for recurrent/residual benign prostatic hyperplasia (BPH) BJU Int 110 E845-50
  • [14] Zhang X(2012)Holmium laser enucleation of the prostate: a modified enucleation technique and initial results J Urol 187 1336-40
  • [15] Xu D(2010)Holmium laser enucleation of the prostate for benign prostatic hyperplasia: effectiveness, safety, and overcoming of the learning curve Korean J Urol 51 619-24
  • [16] Gilling PJ(2010)Holmium laser enucleation of the prostate: initial report of the first 230 Egyptian cases performed in a single center Urology 76 448-52
  • [17] Wilson LC(2013)A prospective, randomized clinical trial comparing plasmakinetic resection of the prostate with holmium laser enucleation of the prostate based on a 2-year follow-up J Urol 189 217-22
  • [18] King CJ(2011)Predictor of de novo urinary incontinence following holmium laser enucleation of the prostate Neurourol Urodyn 30 1343-9
  • [19] Westenberg AM(2000)Holmium laser enucleation of the prostate for glands larger than 100 g: an endourologic alternative to open prostatectomy J Endourol 14 529-31
  • [20] Frampton CM(2008)Holmium laser enucleation of the prostate versus open prostatectomy for prostates greater than 100 grams: 5-year follow-up results of a randomised clinical trial Eur Urol 53 160-8
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