Department of Urology, University Hospital Basel, Basel, Switzerland.
Curr Opin Urol. 2014 Jan;24(1):42-8. doi: 10.1097/MOU.0000000000000016.
To give an overview and discuss the recent literature of different vaporization techniques of the prostate using laser energy or high-frequency current.
Ten studies covering GreenLight vaporization of the prostate with its evolution from 80 W KTP to 120 W HPS to 180 W XPS system were identified. Only one study had a randomized design comparing HPS to transurethral resection of the prostate. The diode laser is discussed with its results after recent modification with quartz head fiber. Although complication rates are low, the comparison to transurethral resection of the prostate is lacking. Current data on established vapoenucleation and promising vaporesection of thulium:YAG lasers are presented. Further, recent studies on plasmakinetic vaporization are discussed.
At present, high evidence data on vaporization techniques of the prostate are lacking. The data on GreenLight vaporization of the prostate are the most convincing.
介绍和讨论使用激光能量或高频电流对前列腺进行不同汽化技术的最新文献。
确定了十项研究，涵盖了 GreenLight 前列腺汽化术，其发展历程从 80W KTP 到 120W HPS 再到 180W XPS 系统。只有一项研究采用随机设计比较了 HPS 与经尿道前列腺切除术。二极管激光也被讨论到，最近对其石英头光纤进行了改进。尽管并发症发生率较低，但与经尿道前列腺切除术相比，缺乏相关数据。目前介绍了已确立的前列腺汽化切除术和有前途的铥：YAG 激光前列腺切除术的相关数据。此外，还讨论了最近关于等离子体汽化的研究。
目前，前列腺汽化技术缺乏高证据数据。GreenLight 前列腺汽化术的数据最具说服力。
