Side-Firing Neodymium:YAG Laser Prostatectomy

Two–Year Results of Transurethral Resection of the Prostate versus Four ‘Less Invasive’ Treatment Options

“…During the last decade, a number of less invasive treatment options for elderly men suffering from lower urinary tract symptoms due to benign prostatic hyperplasia (BPH) have been developed [1, 2, 3, 4]. One of the driving forces behind this development was the intra– and postoperative morbidity of transurethral resection of the prostate (TURP) [5, 6, 7, 8, 9].…”

Lasers for median lobe hyperplasia

“…Long-term follow-up of 428 patients was reported by Costello and Kabalin [25]. After 24 to 36 months the retreatment rate was 6.8%.…”

Laser therapy for the treatment of benign prostatic hyperplasia: A review

“…The prostate is treated with one or two sets of four-quadrant sites depending on the size of the prostate [16] (Fig. 3).…”

“…There is a sharp border of viable and necrotic tissue and an intact prostatic capsule [3]. Late ischemic necrosis has been reported beyond the range of direct thermal effects secondary to laser-induced thrombosis of intraprostatic arterial feeders [4••].…”

“…These symptoms are caused by necrotic prostatic tissue, edema of the prostatic urethra, infection, and incomplete ablation of the prostate tissue. Incomplete laser coagulation with partial thickness burns leaving sensory fibers intact may cause dysuria [16]. The possibility of postoperative urinary discomfort should be explained in detail to the patient before surgery and it should be noted that recovery may begin within 4 to 6 weeks and completed in only 2 to 3 months.…”