New techniques for laser prostatectomy: an update
Identifieur interne : 000407 ( Pmc/Corpus ); précédent : 000406; suivant : 000408New techniques for laser prostatectomy: an update
Auteurs : Doreen E. ChungSource :
- Therapeutic Advances in Urology [ 1756-2872 ] ; 2009.
Abstract
Traditionally, the gold standard for treatment of BPH has been the electrocautery-based 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
PubMed: 21789057
PubMed Central: 3126052
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PMC:3126052Le document en format XML
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<author><name sortKey="Chung, Doreen E" sort="Chung, Doreen E" uniqKey="Chung D" first="Doreen E." last="Chung">Doreen E. Chung</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">New techniques for laser prostatectomy: an update</title>
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<series><title level="j">Therapeutic Advances in Urology</title>
<idno type="ISSN">1756-2872</idno>
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<imprint><date when="2009">2009</date>
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<front><div type="abstract" xml:lang="en"><p>Traditionally, the gold standard for treatment of BPH has been the
electrocautery-based 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.</p>
</div>
</front>
</TEI>
<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ther Adv Urol</journal-id>
<journal-id journal-id-type="publisher-id">TAU</journal-id>
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<journal-title-group><journal-title>Therapeutic Advances in Urology</journal-title>
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<issn pub-type="ppub">1756-2872</issn>
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<publisher><publisher-name>SAGE Publications</publisher-name>
<publisher-loc>UK</publisher-loc>
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<article-id pub-id-type="publisher-id">10.1177_1756287209105436</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Reviews</subject>
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<title-group><article-title>New techniques for laser prostatectomy: an update</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Chung</surname>
<given-names>Doreen E.</given-names>
</name>
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<aff id="aff1-1756287209105436">Fellow In Voiding Dysfunction, Department of Urology, Weill Cornell Medical College, 1300 York Ave, Box 261, Suite F9 West, New York, NY 10065, USA</aff>
</contrib-group>
<contrib-group><contrib contrib-type="author"><name><surname>Te</surname>
<given-names>Alexis E.</given-names>
</name>
<xref ref-type="corresp" rid="corresp1-1756287209105436"></xref>
</contrib>
<aff id="aff2-1756287209105436">Associate Professor of Urology, Director of the Brady Prostate Center, Weill Cornell Medical College, 1300 York Ave, Box 261, Suite F9 West, New York, NY 10065, USA</aff>
</contrib-group>
<author-notes><corresp id="corresp1-1756287209105436"><email>aet2005@med.cornell.edu</email>
</corresp>
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<pub-date pub-type="epub-ppub"><month>6</month>
<year>2009</year>
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<pmc-comment>Fake ppub date generated by PMC from publisher pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><month>6</month>
<year>2009</year>
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<volume>1</volume>
<issue>2</issue>
<fpage>85</fpage>
<lpage>97</lpage>
<permissions><copyright-statement>© The Author(s), 2009. Reprints and permissions:
http://www.sagepub.co.uk/journalsPermissions.nav</copyright-statement>
<copyright-year>2009</copyright-year>
<copyright-holder content-type="sage">SAGE Publications</copyright-holder>
</permissions>
<abstract><p>Traditionally, the gold standard for treatment of BPH has been the
electrocautery-based 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.</p>
</abstract>
<kwd-group><kwd>surgical therapy and new technology</kwd>
<kwd>benign prostatic hyperplasia (BPH)</kwd>
<kwd>prostate cancer</kwd>
<kwd>medical and hormonal therapy</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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