Update on the use of diode laser in the management of benign prostate obstruction in 2014
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To determine the status quo in respect of various diode lasers and present the techniques in use, their results and complications. We assess how these compare with transurethral resection of the prostate and other types of laser in randomized controlled trials (RCTs). When adequate RCTs were not available, case studies and reports were evaluated.
Materials and methods
Laser for the treatment of benign prostatic hyperplasia (BPH) has aroused the interest and curiosity of urologists as well as patients. The patient associates the term laser with a successful and modern procedure. The journey that started with coagulative necrosis of prostatic adenoma based on neodymium: yttrium–aluminum–garnet (Nd:YAG) laser has culminated in endoscopic “enucleation” with holmium laser. Diode laser is being used in urology for about 10 years now. Various techniques have been employed to relieve bladder outlet obstruction due to BPH.
The diode laser scenario is marked by a diversity of surgical techniques and wavelengths. We summarize the current published literature in respect of functional results and complications.
More randomized controlled studies are needed to determine the position and the ideal technique of diode laser treatment for BPH.
KeywordsBenign prostatic hyperplasia Diode laser Vaporization Vaporesection Enucleation DiLEP
Conflict of interest
The authors declare that they have no conflict of interest.
All included human and animal studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1,964 Declaration of Helsinki and its later amendments.All persons gave their informed consent prior to their inclusion in the presented studies.Details that might disclose the identity of the subjects under study are omitted.The corresponding author takes on the above responsibilities.
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