Gkolezakis Vasileios, Somani Bhaskar Kumar, Tokas Theodoros
Department of Urology, Athens Medical Centre, Distomou 5-7, 151 25 Marousi, Greece.
Department of Urology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UK.
J Clin Med. 2023 Mar 6;12(5):2084. doi: 10.3390/jcm12052084.
Holmium laser enucleation of the prostate (HoLEP) constitutes an established technique for treating patients with symptomatic bladder outlet obstruction. Most surgeons perform surgeries using high-power (HP) settings. Nevertheless, HP laser machines are costly, require high-power sockets, and may be linked with increased postoperative dysuria. Low-power (LP) lasers could overcome these drawbacks without compromising postoperative outcomes. Nevertheless, there is a paucity of data regarding LP laser settings during HoLEP, as most endourologists are hesitant to apply them in their clinical practice. We aimed to provide an up-to-date narrative looking at the impact of LP settings in HoLEP and comparing LP with HP HoLEP. According to current evidence, intra- and post-operative outcomes as well as complication rates are independent of the laser power level. LP HoLEP is feasible, safe, and effective and may improve postoperative irritative and storage symptoms.
钬激光前列腺剜除术（HoLEP）是治疗有症状膀胱出口梗阻患者的一种成熟技术。大多数外科医生使用高功率（HP）设置进行手术。然而，高功率激光设备成本高昂，需要高功率插座，并且可能与术后排尿困难增加有关。低功率（LP）激光可以克服这些缺点，同时不影响术后效果。然而，关于HoLEP术中低功率激光设置的数据较少，因为大多数泌尿外科医生在临床实践中对应用它们犹豫不决。我们旨在提供一篇最新的叙述性文章，探讨低功率设置在HoLEP中的影响，并将低功率HoLEP与高功率HoLEP进行比较。根据目前的证据，术中和术后结果以及并发症发生率与激光功率水平无关。低功率HoLEP是可行、安全且有效的，并且可能改善术后刺激性和储尿症状。
