Laser prostate surgery.docVIP

 PAGE \* MERGEFORMAT 10 Laser prostate surgery [Keywords:] prostatic hyperplasia [Keywords:] laser; benign prostatic hyperplasia 0 Introduction Benign prostatic hyperplasia (benign prostatic hyperplasia, BPH) is a male over the age of 50 most common diseases. With the aging of the population trends of society to speed up the male population subjected to a rapid increase in the number of BPH pain. Transurethral resection of the prostate TURP (transurethral resection of the prostate, TURP) for treatment of BPH is recognized as the ‘gold standard’. However, at present, with its minimally invasive laser technology, the advantages of fewer complications of treatment of BPH ‘gold standard’ to create challenges. Here we have an overview of recent laser in application status of prostate surgery. 1Nd: YAG laser 1.1Nd: YAG laser emission wavelength of 1064 nm, very little by water and hemoglobin absorption, but by thermal effects so that the organization produces coagulation or vaporization. When the laser in order to contact applications, solidification belt can be cut to non-tissue expansion, arriving at about 7 mm deep solidified layer of large optical penetration depth, for 10 mm. 1.2Nd: YAG laser in 1990, applied to the treatment of BPH, and its called transurethral resection of the prostate laser (visual laser ablation of the prostate, VLAP). Laser through the diameter of 0.6 mm bare fiber or 2.5 mm lateral launched optical fiber transmission to the prostate area, prostate irradiation area of 3, 5, 7, 9, 4, and every point of the continued firing of laser-time 30 ~ 60 s, the current post-move, part of the prostate by laser irradiation to form a groove-like channel. Gujral et al [1], research data show that: ① TURP group to improve the IPSS score and maximum urinary flow rate, better than VLAP group (P = 0.035, 0.029); ② residual urine volume and quality of life score was no significant difference between the two; ③ Both the rate of treatment failure: V