Alivizatos Gerasimos, Skolarikos Andreas
Second Department of Urology, Athens Medical School, Sismanoglio Hospital, Athens, Greece.
Curr Opin Urol. 2008 Jan;18(1):46-9. doi: 10.1097/MOU.0b013e3282f0d63b.
The purpose of this review is to present recent clinical data published upon the photoselective vaporization of the prostate procedure and introduce new ideas about the future influence of this new technology upon the treatment of benign prostatic hyperplasia.
Published studies have provided significant evidence that the photoselective vaporization of the prostate laser procedure is efficient, safe, easy to learn and early results show that it can compete with transurethral resection of the prostate. The major advantages of this technique are that it is a bloodless procedure, the patient goes home after a few hours and it can be applied to all patient categories. The cost of the photoselective vaporization of the prostate procedure is being investigated and a few studies addressing this issue seem to conclude that this surgical option is a cost effective decision. Lately, thoughts about early surgical intervention with the photoselective vaporization of the prostate laser are being expressed but properly designed studies are needed.
The photoselective vaporization of the prostate laser procedure is getting worldwide fast recognition and it is the first time that transurethral resection of the prostate and open prostatectomy are being threatened. The cost of this procedure is being examined but it is difficult to draw solid conclusions since reimbursement strategies differ between various countries.
本综述旨在介绍近期发表的有关前列腺光选择性汽化术的临床数据，并探讨这项新技术对良性前列腺增生治疗未来影响的新观点。
已发表的研究提供了重要证据，表明前列腺激光光选择性汽化术有效、安全、易于掌握，早期结果显示其可与经尿道前列腺切除术相媲美。该技术的主要优点是手术过程无血，患者术后数小时即可回家，且适用于所有患者类型。目前正在研究前列腺光选择性汽化术的成本，一些针对此问题的研究似乎得出结论，认为这种手术选择具有成本效益。最近，有人提出了关于早期采用前列腺激光光选择性汽化术进行手术干预的想法，但仍需要设计合理的研究。
前列腺激光光选择性汽化术正在全球范围内迅速得到认可，这是首次经尿道前列腺切除术和开放性前列腺切除术受到威胁。该手术的成本正在研究中，但由于各国的报销策略不同，很难得出确凿的结论。
