Department of Urology, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Curr Urol Rep. 2024 Apr;25(4):71-78. doi: 10.1007/s11934-024-01197-6. Epub 2024 Feb 13.
Lasers have had a significant impact on the treatment of benign prostatic hypertrophy. This article attempts to distill the advancements in laser technology for the treatment of benign prostatic hypertrophy (BPH) into key and understandable points to help make this topic more accessible to urologists.
The holmium:yttrium-aluminum-garnet (YAG) laser, one of the most significant lasers in the field of urology, has recently been improved with pulse modulating technology (Moses™ technology). New thulium:YAG technology allows both pulsed and continuous wave modes. The thulium fiber laser is one of the newer lasers to come to market and has been shown to have effective and safe outcomes. GreenLight™ lasers are predominantly used in photovaporization procedures and have also been studied extensively, although less in recent years. The modern urologist is fortunate to have many high-quality lasers and a wide variety of surgical techniques to choose from when treating BPH. Understanding the basic laser principles and applications will help urologists to select the best treatment options for their patients with BPH.
激光技术在治疗良性前列腺增生症方面具有重要意义。本文旨在将激光技术在治疗良性前列腺增生症(BPH)方面的最新进展提炼为要点,以便泌尿科医生更容易理解该主题。
钬:钇铝石榴石(YAG)激光是泌尿科领域最重要的激光之一,最近采用脉冲调制技术(Moses™技术)得到了改进。新型掺铥:YAG 技术允许脉冲和连续波模式。铥光纤激光是最新推向市场的激光之一,已被证明具有有效和安全的效果。绿激光™主要用于光汽化程序,也已被广泛研究,尽管近年来研究较少。现代泌尿科医生有幸拥有许多高质量的激光和多种手术技术可供选择,用于治疗 BPH。了解基本的激光原理和应用将有助于泌尿科医生为 BPH 患者选择最佳治疗方案。