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New techniques for laser prostatectomy: an update

Identifieur interne : 001001 ( Main/Exploration ); précédent : 001000; suivant : 001002

New techniques for laser prostatectomy: an update

Auteurs : Doreen E. Chung [États-Unis] ; Alexis E. Te [États-Unis]

Source :

Therapeutic advances in urology [ 1756-2872 ] ; 2009-06.

RBID : ISTEX:848F2367A20D0221B6E43B6CC3CBA0905AF91C27

Descripteurs français

Wicri :
- topic : Transfusion sanguine.

English descriptors

KwdEn :
- Anticoagulation, Benign prostatic hyperplasia, Bladder, Blood transfusion, Catheterization, Catheterization time, Chung, Coagulation, Enucleation, Gilling, High power, Holep, Holmium, Holmium laser enucleation, Ipss, Kuntzman, Large prostates, Laser, Laser prostatectomy, Laser system, Laser therapy, Laser vaporization, Malek, Morbidity, Open prostatectomy, Operative time, Orifice, Photoselective, Photoselective vaporization, Postoperative, Postoperatively, Prostate, Prostate tissue, Prostatectomy, Prostatic, Qmax, Randomized, Reoperation, Resection, Ruszat, Sandhu, Therapeutic advances, Thulium, Thulium laser, Transfusion, Transurethral, Transurethral resection, Turp, Urol, Urology, Vaporization.
Teeft :
- Anticoagulation, Benign prostatic hyperplasia, Bladder, Blood transfusion, Catheterization, Catheterization time, Chung, Coagulation, Enucleation, Gilling, High power, Holep, Holmium, Holmium laser enucleation, Ipss, Kuntzman, Large prostates, Laser, Laser prostatectomy, Laser system, Laser therapy, Laser vaporization, Malek, Morbidity, Open prostatectomy, Operative time, Orifice, Photoselective, Photoselective vaporization, Postoperative, Postoperatively, Prostate, Prostate tissue, Prostatectomy, Prostatic, Qmax, Randomized, Reoperation, Resection, Ruszat, Sandhu, Therapeutic advances, Thulium, Thulium laser, Transfusion, Transurethral, Transurethral resection, Turp, Urol, Urology, Vaporization.

Abstract

Traditionally, the gold standard for treatment of BPH has been the electrocauterybased TransUrethral Resection of the Prostate (TURP). However, the number of laser techniques being performed is rapidly increasing. Potential advantages of laser therapy over traditional TURP include decreased morbidity and shorter hospital stay. There are several techniques for laser prostatectomy that continue to evolve. The main competing techniques are currently the Holmium Laser Enucleation of the Prostate (HoLEP) and the 80W 532nm laser prostatectomy. The HoLEP, using the Holmium:YAG laser, has been shown to have clinical results similar to TURP and is suitable for patients on anticoagulation as well as those with large prostates. Disadvantages of this technique are the high learning curve and requirement of a morcellator. When used to treat BPH, studies have demonstrated that, like the HoLEP, the 80W KTP laser is safe and effective in patients with large prostates and in those taking oral anticoagulation. Several studies have compared these two techniques to TURP. Frequently reported advantages of the HoLEP over the 80W laser prostatectomy are the availability after the procedure of a pathology specimen and ability to remove a higher percentage of prostate tissue during resection. However, the transurethral laser enucleation of the prostate addresses these concerns and has shown to have durable outcomes at 2-year follow-up. Two new laser systems and techniques, the thulium laser and the 980nm laser, have emerged recently. However, clinical data from these procedures are in their infancy and large long-term studies are required.

Url:

DOI: 10.1177/1756287209105436

Affiliations:

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<front><div type="abstract" xml:lang="en">Traditionally, the gold standard for treatment of BPH has been the electrocauterybased TransUrethral Resection of the Prostate (TURP). However, the number of laser techniques being performed is rapidly increasing. Potential advantages of laser therapy over traditional TURP include decreased morbidity and shorter hospital stay. There are several techniques for laser prostatectomy that continue to evolve. The main competing techniques are currently the Holmium Laser Enucleation of the Prostate (HoLEP) and the 80W 532nm laser prostatectomy. The HoLEP, using the Holmium:YAG laser, has been shown to have clinical results similar to TURP and is suitable for patients on anticoagulation as well as those with large prostates. Disadvantages of this technique are the high learning curve and requirement of a morcellator. When used to treat BPH, studies have demonstrated that, like the HoLEP, the 80W KTP laser is safe and effective in patients with large prostates and in those taking oral anticoagulation. Several studies have compared these two techniques to TURP. Frequently reported advantages of the HoLEP over the 80W laser prostatectomy are the availability after the procedure of a pathology specimen and ability to remove a higher percentage of prostate tissue during resection. However, the transurethral laser enucleation of the prostate addresses these concerns and has shown to have durable outcomes at 2-year follow-up. Two new laser systems and techniques, the thulium laser and the 980nm laser, have emerged recently. However, clinical data from these procedures are in their infancy and large long-term studies are required.</div>
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New techniques for laser prostatectomy: an update

New techniques for laser prostatectomy: an update

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Descripteurs français

English descriptors

Abstract

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