Several laser methods for treating an enlarged prostate
gland (benign prostatic hyperplasia, or BPH) are now being
used. Laser therapy uses a laser beam to remove the part of the prostate that is blocking
urethra. The procedure is done under either a
spinal anesthetic. Most men who have laser treatment
of BPH are able to leave the hospital the same or the next day.
While several laser methods are used, in general they all either sear
(laser ablation) or vaporize (laser vaporization) the prostate tissue.
Studies comparing laser methods with transurethral resection
of the prostate (TURP) have found that:
Other things to think about include the following:
Prostate surgery using a laser may not be available in all
Lourenco T, et al. (2008). Minimally invasive treatments for benign prostatic enlargement: Systematic review of randomised controlled trials. BMJ, 337(7676): a1662–a1669.
Lourenco T, et al. (2008). Alternative approaches to endoscopic ablation for benign enlargement of the prostate: Systematic review of randomised controlled trials. BMJ, 337(301): a449–a457.
Wilt TJ, N'Dow J (2008). Benign prostatic hyperplasia. Part 2—Management. BMJ, 336(7637): 206–210.
AUA Practice Guidelines Committee (2010). AUA guideline on management of benign prostatic hyperplasia. Chapter 1: Guideline on the management of benign prostatic hyperplasia (BPH). Available online: http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines.cfm?sub=bph.
March 5, 2012
E. Gregory Thompson, MD - Internal Medicine
& J. Curtis Nickel, MD, FRCSC - Urology
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