Modern technologies for treatment of patients with benign prostatic hyperplasia - an overview of innovative laser systems
DOI:
https://doi.org/10.14739/2310-1210.2018.4.137140Keywords:
prostatic hyperplasia, vaporization, laser therapyAbstract
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.
References
Bachmann, A., Ruszat, R., Wyler, S., Reich, O., Seifert, H. H., Müller, A., & Sulser, T. (2005) Photoselective vaporization of the prostate: the Basel experience after 108 procedures. Eur Urol., 47(6), 798–804. doi: 10.1016/j.eururo.2005.02.003.
Capitan, C., Blazquez, C., Martin, M. D., Hernandez, V., dela Pena, E., & Liorente, C. (2011) GreenLight HPS 120-W laser vaporization versus transurethral resection of the prostate fort he treatment of lower urinary tract symptoms due to benign prostatic hyperplasia: a randomized clinical trial with 2-year follow-up. Eur Urol., 60(4), 734–9. doi: 10.1016/j.eururo.2011.05.043.
Cornu, J-N., Ahyai, S., Bachmann, A., de la Rosette, J., Gilling, P., Gratzke, C., et al. (2015) A systematic review and meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic obstruction: a n update. Eur Urol., 67(6), 1066–1096. doi: 10.1016/j.eururo.2014.06.017.
Jones, C., Hill, J., & Chapple, C. (2010) Guideline Development Group. Management of lower urinary tract symptoms in men: summary of NICE guidelines. BMJ, 340, c2354. doi: 10.1136/bmj.c2354.
Hamann, M., Naumann, C. M., Seif, C., van der Horst, C., Junemann, K-P., & Braun, P. M. (2008) Functional outcome following photoselective vaporization of the prostate (PVP): urodynamic findings within 12 months follow-up. Eur Urol., 54(4), 902–10. doi: 10.1016/j.eururo.2008.05.003.
Oelke, M., Bachmann, A., Descazeaud, A., et al. (2011) Guidelines on the treatment of non-neurugenic male LUTS. European Association of Urology. Retrieved from http:// www.uroweb.org/gls/pdf/12_Male_LUTS.pdf.Accessed October 16
Ruszat, R., Seitz, M., Wyler, S. F., Abe, C., Rieken, M., Reich, O., et al. (2008) GreenLight laser vaporization of the prostate: single-center experience and long-term results after 500 procedures. Eur Urol., 54(4), 893–901. doi: 10.1016/j.eururo.2008.04.053.
Ruszat, R., Wyler, S., Forster, T., Reich, O., Stief, C. G., Gasser, T. C., et al. (2007) Safety and effectiveness of photoselective vaporization of the prostate (PVP) in patients on ongoing oral anticoagulation. Eur Urol., 51(4), 1031-8; discussion 1038-41. doi: 10.1016/j.eururo.2006.08.006.
Thandasamy, I. A., Chalasani, V., Bachmann, A., & Woo, H. H. (2012) Photoselective vaporization of the prostate using 80-W and 120-W laser versus transurethral resection of the prostate for benign prostatic hyperplasia: a systematic review with meta-analysis from 2002 to 2012. Eur Urol. 62(2), 315–23. doi: 10.1016/j.eururo.2012.04.051.
Teng, J., Zhang, D., Li, Y., Yin, L., Wang, K., Cui, X., & Xu, D. (2013) Photoselective vaporization of the prostate with the green light laser vs transurethral resection of the prostate for treating benign prostatic hyperplasia: a systematic review with meta-analysis. BJU Int., 111(2), 312–23. doi: 10.1111/j.1464-410X.2012.11395.x.
Vuichoud, C., & Loughlin, K. R. (2015) Benign prostatic hyperplasia: epidemiology, economics and evaluation. Can J Urol., 22 (1), 1–6.
Woo, H., Reich, O., Bachmann, A., et al. (2008) Outcomes of GreenLight HPS 120-W laser therapy in specific patient populations: those in retention, on anticoagulants, and with lager prostates (≥80ml). Eur Urol Suppl, 7, 378–383.
Ahyai, S. A., Lehrich, K., & Kuntz, R. M. (2007) Holmium laser enucleation versus transurethral resection of the prostate: 3-year folowup results of a randomized clinical trial. Eur. Urol., 52, 1456–1463. doi: 10.1016/j.eururo.2007.04.053.
Alschibaja, M., May, F., Treiber, U., Paul, R., & Hartung, R. (2005) Transurethral resection for benign prostatic hyperplasia. Current developments. Urologe A, 44(5), 499–504. doi: 10.1007/s00120-005-0802-z.
Anson, K., Nawrocki, J., Buckley, J., Fowler, C., Kirby, R., Lawrence, W., et al. (1995) A multicenter, randomized, prospective study of endoscopic laser ablation versus transurethral resection of the prostate. Urology, 46(3), 305–10. doi: 10.1016/S0090-4295(99)80211-8.
Briganti, A., Naspro, R., Gallina, A., Salonia, A., Vavassori, I, Hurle, R., et al. (2006) Impact on sexual function of holmium laser enucleation versus transurethral resection of the prostate: results of a prospective, 2-center, randomized trial. J. Urol., 175(5), 1817–21. doi: 10.1016/S0022-5347(05)00983-3.
Carter, A., Sells, H., Speakman, M., Ewings, P., MacDonagh, R., & O’Boyle, P. (1999) A prospective randomized controlled trial of hybrid laser treatment or transurethral resection of the prostate, with a 1-year follow-up. BJU Int., 83(3), 254–9. doi: 10.1046/j.1464-410x.1999.00936.x.
Costello, A. J., Crowe, H. R., Jackson, T. & Street, A. (1995) A randomized single institution study comparing laser prostatectomy and transurethral resection of the prostate. Ann Acad Med Singapore, 24(5), 700–4.
Cowlers, R. S., 3rd Kabalin, J. N., Childs, S., Lepor, H., Dixon, C., Stein, B., & Zabbo, A. (1995) A prospective randomized comparsson of transurethral resection to visual laser ablation of the prostate for the treatment of benign prostatic hyperplasia. Urology, 46(2), 155–60.
Doll, H. A., Black, N. A., McPherson, K., Flood, A. B., Williams, G. B., & Smith, J. C. (1992) Mortality, morbidity and complications following transurethral resection of the prostate for benign prostatic hypertrophy. J. Urol., 147(6), 1566–1573. doi: 10.1016/S0022-5347(17)37628-0.
El-Hakim, A., & Elhilali, M. M. (2002) Holmium laser enucleation of the prostate can be taught: the first learning experience. BJU Int., 90(9), 863–869. doi: 10.1046/j.1464-410X.2002.03071.x.
Elzayat, E. A., Habib, E. I., & Elhilali, M. M. (2005) Holmium laser enucleation of prostate for patients in urinary retention. Urology, 66(4), 789–793. doi: 10.1016/j.urology.2005.04.049.
Elzayat, E. A., Habib, E., & Elhilali, M. (2006) Holmium laser enucleation of the prostate in patients on anticoagulant therapy or with bladder disorders. J. Urol., 175(4), 1428–32. doi: 10.1016/S0022-5347(05)00645-2.
Elzayat, E. A., & Elhilali, M. M. (2006) Laser treatment of symptomatic benign prostatic hyperplasia. World J. Urol., 24(4), 410–417. doi: 10.1007/s00345-006-0063-5.
Elzayat, E. A., & Elhilali, M. M. (2007) Minimally invasive treatment of benign prostatic hyperplasia: laser. AUA Update Series., 26(27).
Gilling, P. J., Kennett, K., Das, A. K., Thompson, D., & Fraundorfer, M. R. (1989) Holmium laser enucleation of the prostate (HoLEP) combined with transurethral tissue morcellation: an update on the early clinical experience. J. Endourol., 12(5), 457–459. doi: 10.1089/end.1998.12.457.
Gilling, P. J., Mackey, M., Cresswell, M., Kennett, K., Kabalin, J. N., & Fraundorfer, M. R. (1999) Holmium laser versus transurethral resection of the prostate: a randomized prospective trial with 1-year followup. J. Urol., 162(5), 1640–4.
Gujral, S. A., Abrams, P., Donovan, J. L., Neal, D. E., Brookes, S. T., Chacko, K. N., et al. (2000) prospective randomized trial comparing transurethral resection of prostate and laser therapy in men with chronic urinary retention: the CLasP study. J. Urol., 164(1), 65–70. doi: 10.1016/S0022-5347(05)67449-6.
Gupta. N., Sivaramakrishna, Kumar, R., Dogra, P. N., & Seth, A. (2006) Comparision of standart transurethral resection, transurethral vapour resection and holmium laser enucleation of the prostate for managing benign prostatic hyperplasia of> 40g. BJU Int., 97(1), 85–9. doi: 10.1111/j.1464-410X.2006.05862.x.
Kabalin, J. N., Gill, H. S., Bite, G., & Wolfe, V. (1995) Comparative study of laser versus electrocautery prostatic resection: 18-month follow-up with complex urodynamic assessment. J. Urol., 153(1), 94–7, discussion 97-8.
Keoghane, S. R., Lawrence, K. C., Gray, A. M., Doll, H. A., Hancock, A.M., Turner, K., et al. (2000) A double-blind randomized controlled trial and economic evaluation of transurethral resection vs contact laser vaporization for benign prostatic enlargement: a 3-year follow-up. BJU Int., 85(1), 74–78. doi: 10.1046/j.1464-410x.2000.00407.x.
Kim, S. C., Tinmouth, W. W., Kuo, R. L., Paterson, R. F., & Lingeman, J. E. (2004) Simultaneous holmium laser enucleation of prostate and upper-tract endourologic stone procedures. J. Endourol., 18(10), 971–975. doi: 10.1089/end.2004.18.971.
Kuntz, R. M. (2007) Laser treatment of benign prostatic hyperplasia. World J. Urol., 25(3), 241–247. doi: 10.1007/s00345-007-0170-y.
Kuntz, R. M., Ahyai, S., Lehrich, K., & Fayad, A. (2004) Transurethral holmium laser enucleation of the prostate versus transurethral electrocautery resection of the prostate: a randomized prospective trial in 200 patients. J. Urol, 172(3), 1012–1016. doi: 10.1097/01.ju.0000136218.11998.9e.
Kuntz, R. M., & Lehrich, K. (2002) Transurethral holmium laser enucleation versus transvesical open enucleation for prostate adenoma greater than 100 gm: a randomized prospective trial of 120 patients. J. Urol., 168(4 Pt 1), 1465–9. doi: 10.1097/01.ju.0000027901.47718.fc.
Madersbacher, S., & Marberger, M. (1999) Is transurethral resection of the prostate still justified? BJU Int., 83(3), 227–37.
Mebust, W. K., Holtgrewe, H. L., Cockett, A. T., & Peters, P. C. (1989) Transurethral prostatectomy: immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3 885 patients. J. Urol., 141(2), 243–7. doi: 10.1016/S0022-5347(17)40732-4.
Montorsi, F., Naspro, R., Salonia, A., Suardi, N., Briganti, A., Zanoni, M., et al. (2004) Holmium laser enucleation versus transurethral resection of the prostate: results from a 2-center, prospective, randomized trial in patients with obstructive benign prostatic hyperplasia. J. Urol., 172(5 Pt 1), 1926–9. doi: 10.109/01.ju.0000140501.68841.a1.
Mottet, N., Anidjar, M., Bourdon, O., Louis, J. F., Teillac, P., Costa, P., & Le, D. (1999) Randomized comparison of transurethral resection and holmium: YAG laser vaporization for symptomatic benign prostatic hyperplasia. J. Endourol., 13(2), 127–30. doi: 10.1089/end.1999.13.127.
Naspro, R., Suardi, N., Salonia, A., Scattoni, V., Guazzoni, G., Colombo, R., et al. (2006) Holmium laser enucleation of the prostate versus open prostatectomy for prostates>70g: 24-month follow-up. Eur. Urol., 50(3), 563–8. doi: 10.1016/j.eururo.2006.04.003.
Pedrasa, R., Samadi, A., & Eshghi, M. (2004) Holmium laser enucleation of the prostate in critically ill patients with technique modification. J. Endourol., 18(8), 795–798. doi: 10.1089/end.2004.18.795.
Peterson, M. D., Matlaga, B. R., Kim, S. C., Kuo, R. L., Soergel, T. M., Watkins, S. L., & Lingeman, J. E. (2005) Holmium laser enucleation of the prostate for men with urinary retention. J. Urol., 174(3), 998–1001. doi: 10.1097/01.ju.0000170230.26743.e4.
Rigatti, L. Naspro, R., Salonia, A., Centemero, A., Ghezzi, M., Guazzoni, G., et al. (2006) Urodynamics after TURP and HoLEP in urodynamically obstructed patients: are there any differeces at 1 year of follow-up. Urology, 67(6), 1193–8. doi: 10.1016/j.urology.2005.12.036.
Salonia, A., Suardi, N., Naspro, R., Mazzoccoli, B., Zanni, G., Gallina, A., et al. (2006) Holmium laser enucleation of the prostate versus open prostatectomy for benign prostatic hyperplasia: an inpatient cost analysis. Urology, 68(2), 302–306. doi: 10.1016/j.urology.2006.02.007.
Sengor, F., Kose, O., Yucebas, E., Beysel, M., Erdogan, K., & Narter, F. (1996) A comparative study of laser ablation of prostate and transurethral electroresection for benign prostatic hyperplasia: results of a 6-months follow-up. Br. J. Urol., 78(3), 398–400.
Shah, H. N., Hegde, S. S., Shah, J. N., Mahajan, A. P., & Bansal, M. B. (2007) Simultaneous transurethral cystolithotripsy with holmium laser enucleation of the prostate: a prospective feasibility study and review of literature. BJU Int., 99(3), 595–600. doi: 10.1111/j.1464-410X.2006.06570.x.
Shingleton, W. B., Terrel, F., Renfroe, D. L., Kolski, J. M., & Fowler, J. E. (1999) A randomized prospective study of laser ablation of the prostate versus transurethral resection of the prostate in men with benign prostatic hyperplasia. Urology, 54(6), 1017–21. doi: 10.1016/S0090-4295(99)00319-2.
Suvakovic, N., & Hindmarsh, J. R. (1996) A step towards day case prostatectomy. Br. J. Urol., 77(2), 212–4. doi: 10.1046/j.1464-410X.1996.08859.x.
Tan, A. H., Gilling, P. J., Kennett, K. M., Frampton, C., Westenberg, A. M., & Fraundorfer, M. R. (2003) A randomized trial comparing holmium laser enucleation of the prostate with transurethral resection of the prostate for the treatment of bladder outlet obstruction secondary to benign prostatic hyperplasia in large glands (40 to 200 grams). J. Urol., 170(4 Pt 1), 1270–4. doi: 10.1097/01.ju.0000086948.55973.00.
Tuhkanen, K., Heino, A., & and Ala-Opas, M. (1999) Contact laser prostatectomy compared to TURP in prostatic hyperplasia smaller than 40 ml. Six-month follom-up with complex urodynamic assessment. Scand J. Urol. Nephrol., 33(1), 31–4.
Tuhkanen, K., Heino, A., & Alaopas, M. (1999) Hybrid laser treatment compared with transurethral resection of the prostate for symptomatic bladder outlet obstruction caused by a large benign prostate: a prospective, randomized trial with a 6-month follow-up. BJU Int., 84(7), 805–9.
Wheelahan, J., Scott, N. A., Cartmill, R., Marshall, V., Morton, R. P., Nacey, J., et al. (2000) Minimally invasive laser techniques for prostatectomy: a systematic rewiev. The ASERNIP-S rewire group. Australian Safety and Efficacy Register of New International Procedures-Surgical. BJU Int., 86, 805–815.
Wilson, L. C., Gilling, P. J., Williams, A., Kennett, K. M., Frampton, C. M., Westenberg, A. M., & Fraundorfer, M. R. (2006) A randomised trial comparing holmium laser enucleation versus transurethral resection in the treatment of prostates larger than 40 grams: result at 2 years. Eur. Urol., 50(3), 569–573. doi: 10.1016/j.eururo.2006.04.002.
Zorn, B. H., Bauer, J. J., Ruiz, H. E., & Thrasher, J. B. (1999) Randomized trial of safety and efficacy of transurethral resection of the prostate using contact laser versus electrocautery. Tech. Urol., 5(4), 198–201.
Yamada, Y., Furusawa, J., Sugimura, Y., & Kuromatsu, I. (2016) Photoselective Vaporization of the Prostate: Long-Term Outcomes and Safety During 10 Years of Follow-UpJournal of Endourology. Journal of Endourology, 30(12), doi: 10.1089/end.2016.0522.
Rai, P., Srivastava, A., Dhayal, I. R., & Singh, S. (2017) Priyanka Raia. Comparison of Safety, Efficacy and Cost Effectiveness of Photoselective Vaporization with Bipolar Vaporization of Prostate in Benign Prostatic Hyperplasia. Curr Urol., 11(2), 103–109. doi: 10.1159/000447202.
Cornu, J. N., Ahyai, S., Bachmann, A., de la Rosette, J., Gilling, P., Gratzke, C., et al. (2015) A systematic review and meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic obstruction: an update. Eur Urol., 67(6), 1066–1096. doi: 10.1016/j.eururo.2014.06.017.
Downloads
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)