Sountoulides Petros, Tsakiris Peter
Metropolitan Hospital, Athens, Greece.
Yonsei Med J. 2008 Apr 30;49(2):189-99. doi: 10.3349/ymj.2008.49.2.189.
The search for a minimally invasive approach to the treatment of Lower Urinary Tract Symptoms (LUTS) suggestive of Benign Prostatic Hyperplasia (BPH) is probably as old as Transurethral Resection of the Prostate (TURP). In an effort to overcome the limitations and morbidities of TURP, and in light of evidence suggesting that medical treatment for BPH has a limited life-span, laser-based treatments have emerged during the last decade. Photoselective Vaporization of the Prostate (PVP) by the "GreenLight" KTP laser is considered one of the most promising options, one that is constantly evolving new technologies in prostate surgery. In this overview of KTP laser usage in BPH treatment, we will briefly discuss the evolution of this modality since it was first introduced and focus on the available evidence regarding safety, efficacy and cost parameters of its application.
寻找一种微创方法来治疗提示良性前列腺增生(BPH)的下尿路症状(LUTS),其历史可能与经尿道前列腺切除术(TURP)一样悠久。为了克服TURP的局限性和并发症,并且鉴于有证据表明BPH的药物治疗有效期有限,基于激光的治疗方法在过去十年中应运而生。“绿激光”KTP激光进行的前列腺选择性光汽化术(PVP)被认为是最有前景的选择之一,是一种在前列腺手术中不断发展新技术的方法。在这篇关于KTP激光用于BPH治疗的综述中,我们将简要讨论这种治疗方式自首次引入以来的发展历程,并重点关注其应用的安全性、有效性和成本参数方面的现有证据。