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01.04.2015 | Topic Paper

Update on the use of diode laser in the management of benign prostate obstruction in 2014

verfasst von: Lukas Lusuardi, Michael Mitterberger, Stephan Hruby, Thomas Kunit, Birgit Kloss, Paul F. Engelhardt, Manuela Sieberer, Günter Janetschek

Erschienen in: World Journal of Urology | Ausgabe 4/2015

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Abstract

Aim

To determine the status quo in respect of various diode lasers and present the techniques in use, their results and complications. We assess how these compare with transurethral resection of the prostate and other types of laser in randomized controlled trials (RCTs). When adequate RCTs were not available, case studies and reports were evaluated.

Materials and methods

Laser for the treatment of benign prostatic hyperplasia (BPH) has aroused the interest and curiosity of urologists as well as patients. The patient associates the term laser with a successful and modern procedure. The journey that started with coagulative necrosis of prostatic adenoma based on neodymium: yttrium–aluminum–garnet (Nd:YAG) laser has culminated in endoscopic “enucleation” with holmium laser. Diode laser is being used in urology for about 10 years now. Various techniques have been employed to relieve bladder outlet obstruction due to BPH.

Results

The diode laser scenario is marked by a diversity of surgical techniques and wavelengths. We summarize the current published literature in respect of functional results and complications.

Conclusion

More randomized controlled studies are needed to determine the position and the ideal technique of diode laser treatment for BPH.

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Titel: Update on the use of diode laser in the management of benign prostate obstruction in 2014
verfasst von: Lukas Lusuardi
Michael Mitterberger
Stephan Hruby
Thomas Kunit
Birgit Kloss
Paul F. Engelhardt
Manuela Sieberer
Günter Janetschek
Publikationsdatum: 01.04.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: World Journal of Urology / Ausgabe 4/2015
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-014-1327-0

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Update on the use of diode laser in the management of benign prostate obstruction in 2014

Abstract