A Review of Laser Treatment for Symptomatic BPH (Benign Prostatic Hyperplasia)
| Autor: | Shiva Madhwan Nair, Peter J. Gilling, Marie Adrianne Pimentel |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Side effect Adenoma Urology medicine.medical_treatment Enucleation Prostatic Hyperplasia 030232 urology & nephrology Lasers Solid-State urologic and male genital diseases 03 medical and health sciences 0302 clinical medicine Ablative case Humans Medicine Transurethral resection of the prostate business.industry General Medicine Hyperplasia medicine.disease Ablation Surgery Treatment Outcome Coagulative necrosis 030220 oncology & carcinogenesis Laser Therapy Volatilization business |
| Zdroj: | Current Urology Reports. 17 |
| ISSN: | 1534-6285 1527-2737 |
| DOI: | 10.1007/s11934-016-0603-5 |
| Popis: | Benign prostatic hyperplasia (BPH) is the predominant cause of bladder outflow obstruction and is associated with significant morbidity. Surgical removal of adenoma has been a key treatment principle for alleviation of obstruction. Lasers have been used as an alternative to transurethral resection of the prostate (TURP), due to the higher complications of the latter procedure, since the early 1990s. Early generations of lasers utilized coagulative and ablative techniques to dis-obstruct the bladder. Ablative techniques have remained popular with the resurgence of 532-nm vaporization (commonly known as GreenLight). Enucleation techniques especially with the holmium laser have shown durable efficacy in randomized controlled trials whilst new modalities such as thulium still require long-term data. This review examines the most common types of laser technology used in BPH surgery, with a focus on efficacy and side effect profile. |
| Databáze: | OpenAIRE |
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