Against the motion: Lasers are superfluous for the surgical management of benign prostatic hyperplasia in the developing world
Lasers have arrived in a big way for the management of benign prostatic hyperplasia. The most common ones in use are holmium, potassium titanyl phosphate (KTP) and thulium.They remove the prostatic adenoma either by way of enucleation or ablation. Backed by numerous studies that prove their safety,...
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doaj-95927a60e73c4cbd850b7f1c27369aee2020-11-24T23:29:36ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242009-01-0125340941210.4103/0970-1591.56188Against the motion: Lasers are superfluous for the surgical management of benign prostatic hyperplasia in the developing worldAnil VarshneyAnshuman AgarwalLasers have arrived in a big way for the management of benign prostatic hyperplasia. The most common ones in use are holmium, potassium titanyl phosphate (KTP) and thulium.They remove the prostatic adenoma either by way of enucleation or ablation. Backed by numerous studies that prove their safety, efficacy and durability, lasers score over TURP in several ways. Their use is associated with less blood loss, shorter catheter time and decreased hospital stay. The fluid absorption during laser prostatectomy is negligible and thus makes it safer for use in cardiac patients. Also there is no chance of a transurethral resection syndrome, the incidence of which is approximately 2% with TURP. Due to superior hemostatic capabilities and non interference lasers can be used in patients on anti coagulants, cardiac pacemaker. Another advantage of laser over TURP is its ability to deal with prostates that are larger in size especially holmium laser which has been used to enucleate glands more than 300 g in size thus completely avoiding the need for open prostatectomy. The amount of tissue removed with enucleation is more thus retreatment rates are less than that of TURP. The initial cost of laser is higher but its capability to treat stones, its use in high risk situations, less morbidity, short hospital stay, and durable results make it an attractive option to treat BPH even in the developing world.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2009;volume=25;issue=3;spage=409;epage=412;aulast=VarshneyBenign prostatic hyperplasiaHoLeplasers |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Anil Varshney Anshuman Agarwal |
spellingShingle |
Anil Varshney Anshuman Agarwal Against the motion: Lasers are superfluous for the surgical management of benign prostatic hyperplasia in the developing world Indian Journal of Urology Benign prostatic hyperplasia HoLep lasers |
author_facet |
Anil Varshney Anshuman Agarwal |
author_sort |
Anil Varshney |
title |
Against the motion: Lasers are superfluous for the surgical management of benign prostatic hyperplasia in the developing world |
title_short |
Against the motion: Lasers are superfluous for the surgical management of benign prostatic hyperplasia in the developing world |
title_full |
Against the motion: Lasers are superfluous for the surgical management of benign prostatic hyperplasia in the developing world |
title_fullStr |
Against the motion: Lasers are superfluous for the surgical management of benign prostatic hyperplasia in the developing world |
title_full_unstemmed |
Against the motion: Lasers are superfluous for the surgical management of benign prostatic hyperplasia in the developing world |
title_sort |
against the motion: lasers are superfluous for the surgical management of benign prostatic hyperplasia in the developing world |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Urology |
issn |
0970-1591 1998-3824 |
publishDate |
2009-01-01 |
description |
Lasers have arrived in a big way for the management of benign prostatic hyperplasia. The most common ones in use are holmium, potassium titanyl phosphate (KTP) and thulium.They remove the prostatic adenoma either by way of enucleation or ablation. Backed by numerous studies that prove their safety, efficacy and durability, lasers score over TURP in several ways. Their use is associated with less blood loss, shorter catheter time and decreased hospital stay. The fluid absorption during laser prostatectomy is negligible and thus makes it safer for use in cardiac patients. Also there is no chance of a transurethral resection syndrome, the incidence of which is approximately 2% with TURP. Due to superior hemostatic capabilities and non interference lasers can be used in patients on anti coagulants, cardiac pacemaker. Another advantage of laser over TURP is its ability to deal with prostates that are larger in size especially holmium laser which has been used to enucleate glands more than 300 g in size thus completely avoiding the need for open prostatectomy. The amount of tissue removed with enucleation is more thus retreatment rates are less than that of TURP. The initial cost of laser is higher but its capability to treat stones, its use in high risk situations, less morbidity, short hospital stay, and durable results make it an attractive option to treat BPH even in the developing world. |
topic |
Benign prostatic hyperplasia HoLep lasers |
url |
http://www.indianjurol.com/article.asp?issn=0970-1591;year=2009;volume=25;issue=3;spage=409;epage=412;aulast=Varshney |
work_keys_str_mv |
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