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Review of Current Laser Therapies for the Treatment of Benign Prostatic Hyperplasia

Identifieur interne : 000423 ( Pmc/Curation ); précédent : 000422; suivant : 000424

Review of Current Laser Therapies for the Treatment of Benign Prostatic Hyperplasia

Auteurs : E. Charles Osterberg [États-Unis] ; Benjamin B. Choi [États-Unis]

Source :

RBID : PMC:3685632

Abstract

The gold standard for symptomatic relief of bladder outlet obstruction secondary to benign prostatic hyperplasia has traditionally been a transurethral resection of the prostate (TURP). Over the past decade, however, novel laser technologies that rival the conventional TURP have multiplied. As part of the ongoing quest to minimize complications, shorten hospitalization, improve resection time, and most importantly reduce mortality, laser prostatectomy has continually evolved. Today, there are more variations of laser prostatectomy, each with several differing surgical techniques. Although abundant data are available confirming the safety and feasibility of the various laser systems, future randomized-controlled trials will be necessary to verify which technique is superior. In this review, we describe the most common modalities used to perform a laser prostatectomy, mainly, the holmium laser and the potassium-titanyl-phosphate lasers. We also highlight the physical and clinical characteristics of each technology with a review of the most current and highest-quality literature.


Url:
DOI: 10.4111/kju.2013.54.6.351
PubMed: 23789041
PubMed Central: 3685632

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PMC:3685632

Le document en format XML

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<p>The gold standard for symptomatic relief of bladder outlet obstruction secondary to benign prostatic hyperplasia has traditionally been a transurethral resection of the prostate (TURP). Over the past decade, however, novel laser technologies that rival the conventional TURP have multiplied. As part of the ongoing quest to minimize complications, shorten hospitalization, improve resection time, and most importantly reduce mortality, laser prostatectomy has continually evolved. Today, there are more variations of laser prostatectomy, each with several differing surgical techniques. Although abundant data are available confirming the safety and feasibility of the various laser systems, future randomized-controlled trials will be necessary to verify which technique is superior. In this review, we describe the most common modalities used to perform a laser prostatectomy, mainly, the holmium laser and the potassium-titanyl-phosphate lasers. We also highlight the physical and clinical characteristics of each technology with a review of the most current and highest-quality literature.</p>
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<name sortKey="Liatsikos, En" uniqKey="Liatsikos E">EN Liatsikos</name>
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<journal-meta>
<journal-id journal-id-type="nlm-ta">Korean J Urol</journal-id>
<journal-id journal-id-type="iso-abbrev">Korean J Urol</journal-id>
<journal-id journal-id-type="publisher-id">KJU</journal-id>
<journal-title-group>
<journal-title>Korean Journal of Urology</journal-title>
</journal-title-group>
<issn pub-type="ppub">2005-6737</issn>
<issn pub-type="epub">2005-6745</issn>
<publisher>
<publisher-name>The Korean Urological Association</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23789041</article-id>
<article-id pub-id-type="pmc">3685632</article-id>
<article-id pub-id-type="doi">10.4111/kju.2013.54.6.351</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Review of Current Laser Therapies for the Treatment of Benign Prostatic Hyperplasia</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Osterberg</surname>
<given-names>E. Charles</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Choi</surname>
<given-names>Benjamin B.</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
</contrib-group>
<aff id="A1">Department of Urology, Weill-Cornell Medical Center, New York, NY, USA.</aff>
<author-notes>
<corresp>Corresponding Author: E. Charles Osterberg. Department of Urology, Weill-Cornell Medical Center, Starr 900, 525 E. 68th St, New York, NY 10065, USA. TEL: +1-212-746-5455, FAX: +1-212-746-8207,
<email>charlesosterberg@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>6</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub">
<day>12</day>
<month>6</month>
<year>2013</year>
</pub-date>
<volume>54</volume>
<issue>6</issue>
<fpage>351</fpage>
<lpage>358</lpage>
<history>
<date date-type="received">
<day>15</day>
<month>4</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>5</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>© The Korean Urological Association, 2013</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>The gold standard for symptomatic relief of bladder outlet obstruction secondary to benign prostatic hyperplasia has traditionally been a transurethral resection of the prostate (TURP). Over the past decade, however, novel laser technologies that rival the conventional TURP have multiplied. As part of the ongoing quest to minimize complications, shorten hospitalization, improve resection time, and most importantly reduce mortality, laser prostatectomy has continually evolved. Today, there are more variations of laser prostatectomy, each with several differing surgical techniques. Although abundant data are available confirming the safety and feasibility of the various laser systems, future randomized-controlled trials will be necessary to verify which technique is superior. In this review, we describe the most common modalities used to perform a laser prostatectomy, mainly, the holmium laser and the potassium-titanyl-phosphate lasers. We also highlight the physical and clinical characteristics of each technology with a review of the most current and highest-quality literature.</p>
</abstract>
<kwd-group>
<kwd>Laser surgery</kwd>
<kwd>Lower urinary tract symptoms</kwd>
<kwd>Prostatic hyperplasia</kwd>
<kwd>Transurethral prostatectom</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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