Modern technologies for treatment of patients with benign prostatic hyperplasia - an overview of innovative laser systems

Abstract

Introduction. With the growing percentage of elderly men benign prostatic hyperplasia (BPH) will become widespread and will be one of the primary challenges for health systems. Laser technology is an alternative to transurethral resection in the surgical treatment of benign prostatic hyperplasia. Insufficient amount and differences between study resuts do not suggest conclusions regarding the optimal method of laser technology. Objective: Based on current sources of scientific information to analyze the results of the laser technology application in the treatment of benign prostatic hyperplasia. We concluded that laser systems for treating BPH have been shown to allow clinicians to achieve clinical results comparable to transurethral resection of the prostate. The number of complications is much lower. This is a non-invasive operation that contributes to a significant improvement in urination and rapid and steady symptoms reduction. The results of this comparative study indicate the safety and efficacy of photoselective vaporization of the prostate (РVP) procedure in patients suffering from lower urinary tract symptoms due to BPH. Catheterization is not obligatory, but it is possible only for a short time. Hospital length of stay decrease during vaporization with a laser output power of 120 watts associated with less frequent bladder irrigation and decrease in hematuria. After РVP 120 W total perioperative complication rate was lower, but to prove the clinical usefulness of lithium laser surgical treatment the long-term studies are required.

Keywords

• prostatic hyperplasia
• vaporization
• laser therapy