The role of lasers in modern urology
Identifieur interne : 000086 ( Main/Curation ); précédent : 000085; suivant : 000087The role of lasers in modern urology
Auteurs : Łukasz Dołowy ; Wojciech Krajewski ; Janusz Dembowski ; Romuald Zdrojowy ; Anna KołodziejSource :
- Central European Journal of Urology [ 2080-4806 ] ; 2015.
Abstract
The functioning of modern urological departments and the high level of service they provide is possible through, among other things, the use of modern laser techniques.
Open operations have been replaced by minimally invasive procedures, and classical surgical tools by advanced lasers.
The search for new applications with lasers began as technology developed. Among many devices available, holmium, diode and thulium lasers are currently the most popular.
Depending on the wavelength, the absorption by water and hemoglobin and the depth of penetration, lasers can be used for coagulation, vaporization and enucleation. In many centres, after all the possibilities of pharmacological treatment have been exhausted, lasers are used as the primary treatment for patients with benign prostatic hyperplasia, with therapeutic results that are better than those obtained through open or endoscopic operations. The use of lasers in the treatment of urolithiasis, urinary strictures and bladder tumours has made treatment of older patients with multiple comorbidities safe, without further necessity to modify the anticoagulant drug treatment. Laser procedures are additionally less invasive, reduce hospitalization time and enable a shorter bladder catheterization time, sometimes even eliminating the need for bladder catherterization completely. Such procedures are also characterized by more stable outcomes and a lower number of reoperations.
There are also indications that with the increased competition among laser manufacturers, decreased purchase and maintenance costs, and increased operational safety, laser equipment will become mandatory and indispensable asset in all urology wards.
Url:
DOI: 10.5173/ceju.2015.537
PubMed: 26251737
PubMed Central: 4526611
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The role of lasers in modern urology</title><author><name sortKey="Dolowy, Lukasz" sort="Dolowy, Lukasz" uniqKey="Dolowy L" first="Łukasz" last="Dołowy">Łukasz Dołowy</name></author><author><name sortKey="Krajewski, Wojciech" sort="Krajewski, Wojciech" uniqKey="Krajewski W" first="Wojciech" last="Krajewski">Wojciech Krajewski</name></author><author><name sortKey="Dembowski, Janusz" sort="Dembowski, Janusz" uniqKey="Dembowski J" first="Janusz" last="Dembowski">Janusz Dembowski</name></author><author><name sortKey="Zdrojowy, Romuald" sort="Zdrojowy, Romuald" uniqKey="Zdrojowy R" first="Romuald" last="Zdrojowy">Romuald Zdrojowy</name></author><author><name sortKey="Kolodziej, Anna" sort="Kolodziej, Anna" uniqKey="Kolodziej A" first="Anna" last="Kołodziej">Anna Kołodziej</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26251737</idno><idno type="pmc">4526611</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4526611</idno><idno type="RBID">PMC:4526611</idno><idno type="doi">10.5173/ceju.2015.537</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000046</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000046</idno><idno type="wicri:Area/Pmc/Curation">000046</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000046</idno><idno type="wicri:Area/Pmc/Checkpoint">000029</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000029</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000056</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000056</idno><idno type="wicri:Area/PubMed/Curation">000056</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000056</idno><idno type="wicri:Area/PubMed/Checkpoint">000056</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000056</idno><idno type="wicri:Area/Ncbi/Merge">000A39</idno><idno type="wicri:Area/Ncbi/Curation">000A39</idno><idno type="wicri:Area/Ncbi/Checkpoint">000A39</idno><idno type="wicri:doubleKey">2080-4806:2015:Dolowy L:the:role:of</idno><idno type="wicri:Area/Main/Merge">000086</idno><idno type="wicri:Area/Main/Curation">000086</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The role of lasers in modern urology</title><author><name sortKey="Dolowy, Lukasz" sort="Dolowy, Lukasz" uniqKey="Dolowy L" first="Łukasz" last="Dołowy">Łukasz Dołowy</name></author><author><name sortKey="Krajewski, Wojciech" sort="Krajewski, Wojciech" uniqKey="Krajewski W" first="Wojciech" last="Krajewski">Wojciech Krajewski</name></author><author><name sortKey="Dembowski, Janusz" sort="Dembowski, Janusz" uniqKey="Dembowski J" first="Janusz" last="Dembowski">Janusz Dembowski</name></author><author><name sortKey="Zdrojowy, Romuald" sort="Zdrojowy, Romuald" uniqKey="Zdrojowy R" first="Romuald" last="Zdrojowy">Romuald Zdrojowy</name></author><author><name sortKey="Kolodziej, Anna" sort="Kolodziej, Anna" uniqKey="Kolodziej A" first="Anna" last="Kołodziej">Anna Kołodziej</name></author></analytic><series><title level="j">Central European Journal of Urology</title><idno type="ISSN">2080-4806</idno><idno type="eISSN">2080-4873</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction</title><p>The functioning of modern urological departments and the high level of service they provide is possible through, among other things, the use of modern laser techniques.</p></sec><sec id="st2"><title>Material and methods</title><p>Open operations have been replaced by minimally invasive procedures, and classical surgical tools by advanced lasers.</p><p>The search for new applications with lasers began as technology developed. Among many devices available, holmium, diode and thulium lasers are currently the most popular.</p></sec><sec id="st3"><title>Results</title><p>Depending on the wavelength, the absorption by water and hemoglobin and the depth of penetration, lasers can be used for coagulation, vaporization and enucleation. In many centres, after all the possibilities of pharmacological treatment have been exhausted, lasers are used as the primary treatment for patients with benign prostatic hyperplasia, with therapeutic results that are better than those obtained through open or endoscopic operations. The use of lasers in the treatment of urolithiasis, urinary strictures and bladder tumours has made treatment of older patients with multiple comorbidities safe, without further necessity to modify the anticoagulant drug treatment. Laser procedures are additionally less invasive, reduce hospitalization time and enable a shorter bladder catheterization time, sometimes even eliminating the need for bladder catherterization completely. Such procedures are also characterized by more stable outcomes and a lower number of reoperations.</p></sec><sec id="st4"><title>Conclusions</title><p>There are also indications that with the increased competition among laser manufacturers, decreased purchase and maintenance costs, and increased operational safety, laser equipment will become mandatory and indispensable asset in all urology wards.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Staehler, G" uniqKey="Staehler G">G Staehler</name></author><author><name sortKey="Hofstetter, A" uniqKey="Hofstetter A">A Hofstetter</name></author><author><name sortKey="Gorisch, W" uniqKey="Gorisch W">W Gorisch</name></author><author><name sortKey="Keiditsch, E" uniqKey="Keiditsch E">E Keiditsch</name></author><author><name sortKey="Mussiggang, M" uniqKey="Mussiggang M">M Mussiggang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gravas, S" 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