[Laservaporization of the prostate: current status of the greenlight and diode laser].

Rieken M; Bachmann A; Gratzke C

doi:10.1007/s00120-012-3087-z

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Journal article

[Laservaporization of the prostate: current status of the greenlight and diode laser].

Rieken M Urologische Universitätsklinik Basel - Liestal, Universitätsspital Basel, Spitalstraße 21, CH-4031 Basel, Schweiz. mrieken@uhbs.ch
Bachmann A
Gratzke C

2013-02-23

Published in:

Der Urologe. Ausg. A. - 2013

Minimally Invasive Surgical Procedures

English In the last decade laser vaporization of the prostate has emerged as a safe and effective alternative to transurethral resection of the prostate (TURP). This was facilitated in particular by the introduction of photoselective vaporization of the prostate (PVP) with a 532 nm 80 W KTP laser in 2002. Prospective randomized trials comparing PVP and TURP with a maximum follow-up of 3 years mostly demonstrated comparable functional results. Cohort studies showed a safe application of PVP in patients under oral anticoagulation and with large prostates. Systems from various manufacturers with different maximum power output and wavelengths are now available for diode laser vaporization of the prostate. Prospective randomized trials comparing diode lasers and TURP are not yet available. In cohort studies and comparative studies PVP diode lasers are characterized by excellent hemostatic properties but functional results vary greatly with some studies reporting high reoperation rates.

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