Urology and Andrology

Development of laser technologies in surgical treatment of prostatic hyperplasia

Laser methods of removing prostatic hyperplasia have become an inalienable part of everyday urological practice in the past 10–15 years. Such procedures as holmium laser enucleation of the prostate (HoLEP) and thulium laser enucleation of the prostate (ThuLEP) are not just alternatives to standard treatment, they are the main techniques in management of prostatic hyperplasia (in the volume of the prostate more than 80 cm3) [1]. Later treatments have set new standards for the effectiveness and safety of operative procedures, in many respects inaccessible for transurethral resection of the prostate (TURP) and open adenomectomy. Despite a high effectiveness of laser enucleation, it is not the only laser technology employed for treatment of BPH. Green-light laser vaporisation of the prostate, known as photoselective vaporisation of the prostate (PVP), has also been widely adopted in routine urological practice. There are also a number of other techniques, earlier used in management of BPH. Our work is aimed at showing the way laser technologies have gone through from the first application in urology to the presentday stage, describing the currently existing laser systems used in urology, and explaining, which of BPH treatment techniques that employ laser radiation is the most effective.

Key words: prostatic hyperplasia, holmium laser enucleation of prostate, thulium laser enucleation of prostate, laser treatments.

For citation: Glybochko P.V., Alyaev Yu.G., Rapoport L.M., Enikeev D.V., Enikeev M.E., Spivak L.G., Kharchilava R.R., Mikhaylov V.Yu., Khamraev O.Kh., Inoyatov Zh.Sh., Dymova A.V., Taratkin M.S. Development of laser technologies in surgical treatment of prostatic hyperplasia. Vopr. urol. androl. (Urology and Andrology). 2017; 5(4): 30–36. (In Russian).
DOI: 10.20953/2307-6631-2017-4-30-36