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Complications of laser prostatectomy: a review of recent data.

Identifieur interne : 000501 ( PubMed/Curation ); précédent : 000500; suivant : 000502

Complications of laser prostatectomy: a review of recent data.

Auteurs : Malte Rieken [Suisse] ; Nicole Ebinger Mundorff ; Gernot Bonkat ; Stephen Wyler ; Alexander Bachmann

Source :

RBID : pubmed:20052586

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English descriptors

Abstract

Laser techniques for the treatment of bladder outlet obstruction (BOO) due to benign prostate enlargement (BPE) have emerged as an alternative to transurethral resection of the prostate (TURP) and open prostatectomy (OP).

DOI: 10.1007/s00345-009-0504-z
PubMed: 20052586

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pubmed:20052586

Le document en format XML

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<title xml:lang="en">Complications of laser prostatectomy: a review of recent data.</title>
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<name sortKey="Rieken, Malte" sort="Rieken, Malte" uniqKey="Rieken M" first="Malte" last="Rieken">Malte Rieken</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Urology, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland. mrieken@uhbs.ch</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Urology, University Hospital Basel, Spitalstrasse 21, 4031 Basel</wicri:regionArea>
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<author>
<name sortKey="Ebinger Mundorff, Nicole" sort="Ebinger Mundorff, Nicole" uniqKey="Ebinger Mundorff N" first="Nicole" last="Ebinger Mundorff">Nicole Ebinger Mundorff</name>
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<name sortKey="Bonkat, Gernot" sort="Bonkat, Gernot" uniqKey="Bonkat G" first="Gernot" last="Bonkat">Gernot Bonkat</name>
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<name sortKey="Wyler, Stephen" sort="Wyler, Stephen" uniqKey="Wyler S" first="Stephen" last="Wyler">Stephen Wyler</name>
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<name sortKey="Bachmann, Alexander" sort="Bachmann, Alexander" uniqKey="Bachmann A" first="Alexander" last="Bachmann">Alexander Bachmann</name>
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<title level="j">World journal of urology</title>
<idno type="eISSN">1433-8726</idno>
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<term>Humans</term>
<term>Laser Therapy</term>
<term>Male</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Prostatectomy (adverse effects)</term>
<term>Prostatectomy (methods)</term>
<term>Prostatic Hyperplasia (surgery)</term>
<term>Transurethral Resection of Prostate (adverse effects)</term>
<term>Transurethral Resection of Prostate (methods)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Complications postopératoires (épidémiologie)</term>
<term>Humains</term>
<term>Hyperplasie de la prostate ()</term>
<term>Mâle</term>
<term>Prostatectomie ()</term>
<term>Prostatectomie (effets indésirables)</term>
<term>Résection transuréthrale de prostate ()</term>
<term>Résection transuréthrale de prostate (effets indésirables)</term>
<term>Thérapie laser</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Prostatectomy</term>
<term>Transurethral Resection of Prostate</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Prostatectomie</term>
<term>Résection transuréthrale de prostate</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Prostatectomy</term>
<term>Transurethral Resection of Prostate</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Prostatic Hyperplasia</term>
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<term>Complications postopératoires</term>
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<term>Laser Therapy</term>
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<term>Humains</term>
<term>Hyperplasie de la prostate</term>
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<div type="abstract" xml:lang="en">Laser techniques for the treatment of bladder outlet obstruction (BOO) due to benign prostate enlargement (BPE) have emerged as an alternative to transurethral resection of the prostate (TURP) and open prostatectomy (OP).</div>
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<Month>01</Month>
<Day>21</Day>
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<Year>2010</Year>
<Month>05</Month>
<Day>25</Day>
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<ISSN IssnType="Electronic">1433-8726</ISSN>
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<Volume>28</Volume>
<Issue>1</Issue>
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<Year>2010</Year>
<Month>Feb</Month>
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<Title>World journal of urology</Title>
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<ArticleTitle>Complications of laser prostatectomy: a review of recent data.</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Laser techniques for the treatment of bladder outlet obstruction (BOO) due to benign prostate enlargement (BPE) have emerged as an alternative to transurethral resection of the prostate (TURP) and open prostatectomy (OP).</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A Medline search over the past 4 years was performed to assess the safety, intra- and postoperative morbidity of various laser techniques.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Data on holmium laser enucleation of the prostate (HoLEP) show the highest grade of evidence with two meta-analyses available and prove the low intra- and postoperative morbidity with reproducible long-term results. Photoselective vaporization of the prostate (PVP) with the Greenlightlaser (potassium titanyl phosphate, KTP or lithium borate, LBO) is characterized by excellent haemostatic properties in patients with or without oral anticoagulation. Long-term results show a reoperation rate comparable with TURP; however, there is a lack of randomized trials. Various types of diode lasers with different wavelengths are available for laser vaporization; despite their favourable haemostatic properties, a higher invasion depth seems to result in necrosis of the tissue leading to a higher rate of reoperation. Thulium-laser resection of the prostate shows promising intra- and postoperative morbidity, but data are limited and initial results need to be confirmed in large-scale trials.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In summary, HoLEP- and KTP-, or LBO-laser vaporization of the prostate are the most mature techniques of laser prostatectomy and treatment alternatives to TURP and OP, whereas the clinical value and durability of procedures with diode laser systems and the thulium laser need to be confirmed in high-quality prospective RCTs.</AbstractText>
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