Laser treatment for benign prostatic hyperplasia: a review
Bladder outflow obstruction is commonly caused by benign prostatic hyperplasia (BPH).1The gold-standard treatment for this type of obstruction is transurethral resection of the prostate (TURP). However less invasive alternative therapies using laser technology have been developed, that may carry a lower risk of complications than TURP.1
Nair et al reviewed the laser technologies most commonly used for treatment of BPH and examined the efficacy and side effects of this treatment.1
A variety of techniques are possible, based on the unique properties of different laser types:1
- Vaporisation
- Resection
- Enucleation.
Early generations of laser technologies relieved bladder obstruction by coagulation and ablation.1Ablation techniques, including via the 532-nm GreenLight device, are popular and clinical evidence for their use is being accumulated.1
Holmium Laser Enucleation of the Prostate (HoLEP) and 532-nm ablation therapies are the most commonly used and well established techniques.1The 532-nm ablation techniques show safety and efficacy profiles similar to TURP.1