Photoselective laser ablation of the prostate: a review of the current 2015 tissue ablation options.
Identifieur interne : 000038 ( PubMed/Corpus ); précédent : 000037; suivant : 000039Photoselective laser ablation of the prostate: a review of the current 2015 tissue ablation options.
Auteurs : Côme Tholomier ; Roger Valdivieso ; Pierre-Alain Hueber ; Kevin C. ZornSource :
- The Canadian journal of urology [ 1195-9479 ] ; 2015.
Abstract
Transurethral resection of the prostate (TURP) is still considered the gold standard to treat benign prostatic hyperplasia (BPH). However, photoselective vaporization of the prostate (PVP) has gained widespread acceptance as an alternative option requiring preoperative patient selection. Four laser systems are currently in use: holmium, thulium, diode and GreenLight.
PubMed: 26497343
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pubmed:26497343Le document en format XML
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<author><name sortKey="Tholomier, Come" sort="Tholomier, Come" uniqKey="Tholomier C" first="Côme" last="Tholomier">Côme Tholomier</name>
<affiliation><nlm:affiliation>Section of Urology, Department of Surgery, Centre Hospitalier de l'Université de Montréal, Montréal, Quebec, Canada.</nlm:affiliation>
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<author><name sortKey="Valdivieso, Roger" sort="Valdivieso, Roger" uniqKey="Valdivieso R" first="Roger" last="Valdivieso">Roger Valdivieso</name>
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<author><name sortKey="Hueber, Pierre Alain" sort="Hueber, Pierre Alain" uniqKey="Hueber P" first="Pierre-Alain" last="Hueber">Pierre-Alain Hueber</name>
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<author><name sortKey="Zorn, Kevin C" sort="Zorn, Kevin C" uniqKey="Zorn K" first="Kevin C" last="Zorn">Kevin C. Zorn</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Photoselective laser ablation of the prostate: a review of the current 2015 tissue ablation options.</title>
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<affiliation><nlm:affiliation>Section of Urology, Department of Surgery, Centre Hospitalier de l'Université de Montréal, Montréal, Quebec, Canada.</nlm:affiliation>
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<author><name sortKey="Valdivieso, Roger" sort="Valdivieso, Roger" uniqKey="Valdivieso R" first="Roger" last="Valdivieso">Roger Valdivieso</name>
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<author><name sortKey="Hueber, Pierre Alain" sort="Hueber, Pierre Alain" uniqKey="Hueber P" first="Pierre-Alain" last="Hueber">Pierre-Alain Hueber</name>
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<series><title level="j">The Canadian journal of urology</title>
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<front><div type="abstract" xml:lang="en">Transurethral resection of the prostate (TURP) is still considered the gold standard to treat benign prostatic hyperplasia (BPH). However, photoselective vaporization of the prostate (PVP) has gained widespread acceptance as an alternative option requiring preoperative patient selection. Four laser systems are currently in use: holmium, thulium, diode and GreenLight.</div>
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<pubmed><MedlineCitation Owner="NLM" Status="In-Process"><PMID Version="1">26497343</PMID>
<DateCreated><Year>2015</Year>
<Month>10</Month>
<Day>27</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">1195-9479</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>22 Suppl 1</Volume>
<PubDate><Year>2015</Year>
<Month>Oct</Month>
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<Title>The Canadian journal of urology</Title>
<ISOAbbreviation>Can J Urol</ISOAbbreviation>
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<ArticleTitle>Photoselective laser ablation of the prostate: a review of the current 2015 tissue ablation options.</ArticleTitle>
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<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Transurethral resection of the prostate (TURP) is still considered the gold standard to treat benign prostatic hyperplasia (BPH). However, photoselective vaporization of the prostate (PVP) has gained widespread acceptance as an alternative option requiring preoperative patient selection. Four laser systems are currently in use: holmium, thulium, diode and GreenLight.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">The goal of this article is to review the physics and the basics behind laser prostatectomies, as well as to present the most current literature concerning the results, advantages, disadvantages and international recommendations for each vaporization procedure.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Holmium laser ablation of the prostate (HoLAP) and GreenLight photoselective vaporization of the prostate are an alternative to TURP for small to medium-sized prostates, providing equivalent efficacy and safety. GreenLight is also safe and effective in large-sized prostates and especially beneficial in anti-coagulated individuals compared to TURP. Thulium vaporization of the prostate (ThuVAP) and diode vaporization both require additional randomized trials and long term studies before conclusion is made, despite promising initial results. Diode vaporization provides the best hemostasis overall, but at the cost of increased complication and re-treatment rate, and thus is not recommended except in severely anti-coagulated patients.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Laser vaporization is a safe and effective alternative to TURP in the treatment of benign prostatic hyperplasia (BPH) for carefully selected patients. However, further research is still needed to assess the durability of each technology.</AbstractText>
</Abstract>
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