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Laser treatment of benign prostatic obstruction: basics and physical differences |
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| Authors: | Bach Thorsten Muschter Rolf Sroka Roland Gravas Stavros Skolarikos Andreas Herrmann Thomas R W Bayer Thomas Knoll Thomas Abbou Claude-Clément Janetschek Guenter Bachmann Alexander Rassweiler Jens J |
| Affiliation: | a Department of Urology, Asklepios Klinik Barmbek, Hamburg, Germany b Department of Urology, Diakoniekrankenhaus Academic Teaching Hospital, Rotenburg, Germany c Department of Urology, University Hospital Grosshadern, Ludwig-Maximilians-University, Munich, Germany d Department of Urology, University of Thessaly, Larissa, Greece e 2nd Department of Urology, Sismanoglio Hospital, Athens Medical School, Athens, Greece f Department of Urology, MHH Medical School of Hannover, Hannover, Germany g Department of Urology, Kempten Hospital, Kempten, Germany h Department of Urology, Klinikum Sindelfingen-Böblingen, Klinikverbund Suedwest, University of Tuebingen, Sindelfingen, Germany i Department of Urology, CHU Henri Mondor, Créteil, France j Department of Urology, Paracelsius Medical University, Salzburg, Austria k Department of Urology, University Hospital Basel, Basel, Switzerland l Department of Urology, Klinikum Heilbronn, SLK Kliniken Heilbronn, University of Heidelberg, Heilbronn, Germany |
| Abstract: | ContextLaser treatment of benign prostatic obstruction (BPO) has become more prevalent in recent years. Although multiple surgical approaches exist, there is confusion about laser-tissue interaction, especially in terms of physical aspects and with respect to the optimal treatment modality.ObjectiveTo compare available laser systems with respect to physical fundamentals and to discuss the similarities and differences among introduced laser devices.Evidence acquisitionThe paper is based on the second expert meeting on the laser treatment of BPO organised by the European Association of Urology Section of Uro-Technology. A systematic literature search was also carried out to cover the topic of laser treatment of BPO extensively.Evidence synthesisThe principles of generation of laser radiation, laser fibre construction, the types of energy emission, and laser-tissue interaction are discussed in detail for the laser systems used in the treatment of BPO. The most relevant laser systems are compared and their physical properties discussed in depth.ConclusionsLaser treatment of BPO is gaining widespread acceptance. Detailed knowledge of the physical principles allows the surgeon to discriminate between available laser systems and their possible pitfalls to guarantee high safety levels for the patient. |
| Keywords: | Laser BPH BPO Laser radiation Fibre technology Laser-tissue interaction GreenLight laser Diode laser Thulium laser Holmium laser |
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