Laser endoscopic procedures on the prostate: it is the small details that count.
Curr Opin Urol
; 31(5): 468-472, 2021 09 01.
Article
de En
| MEDLINE
| ID: mdl-34231543
ABSTRACT
PURPOSE OF REVIEW This review aims to highlight the pros and cons of each laser device and to consider additional possible milestones for the development of laser technologies in the surgical treatment of benign prostate hyperplasia. RECENT FINDINGS:
Over the last three decades, lasers' role in endourology has gone from strength to strength. Specifically, the primary techniques where laser surgery for BPO relief is concerned are vaporization and enucleation. The idea behind vaporization is that lasers are able to vaporize substantial amounts of tissue due to deep ablation depth and increased power. The most efficient devices for vaporization are those affecting hemoglobin as primary chromophore and/or using a continuous firing mode (KTP/LBOYAG, diode lasers, TmYAG). As for enucleation, multiple devices have been suggested for the adequate anatomical enucleation of the prostate (EEP). As it is a skill-dependent technique, the EEP is effective irrespective of which device the surgeon uses. However, some devices have shown significant advances where enucleation is concerned.SUMMARY:
The choice of device should be based primarily on the technique the surgeon prefers. Although the most suitable lasers for vaporization are hemoglobin-targeting and/or continuous wave devices, the EEP may be done with any enough powered laser, yet some provides specific effects which you should be aware before the surgery.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Hyperplasie de la prostate
/
Résection transuréthrale de prostate
/
Thérapie laser
/
Lasers à solide
Limites:
Humans
/
Male
Langue:
En
Journal:
Curr Opin Urol
Sujet du journal:
UROLOGIA
Année:
2021
Type de document:
Article