The Journal of Urology
Volume 182, Issue 1 , Pages 133-138 , July 2009

Holmium Laser Ablation of the Prostate Versus Photoselective Vaporization of Prostate 60 cc or Less: Short-Term Results of a Prospective Randomized Trial

  • Ehab A. Elzayat

      Affiliations

    • Division of Urology, McGill University, Montreal, Quebec, Canada
    • Department of Urology, Al-Azhar University, Cairo, Egypt
  • ,
  • Majid S. Al-Mandil

      Affiliations

    • Division of Urology, McGill University, Montreal, Quebec, Canada
  • ,
  • Ismail Khalaf

      Affiliations

    • Department of Urology, Al-Azhar University, Cairo, Egypt
  • ,
  • Mostafa M. Elhilali

      Affiliations

    • Division of Urology, McGill University, Montreal, Quebec, Canada
    • Corresponding Author InformationCorrespondence: Urology Division, Department of Surgery, Royal Victoria Hospital, MUHC, 687 Pine Ave. West, Room S6.95, H3A 1A1, Montreal, Quebec, Canada (telephone: 514-843-1516; FAX: 514-843-1552)
    • Financial interest and/or other relationship with Lumenis and Laserscope.

Received 17 October 2008

References 

  1. Borth CS, Beiko DT, Nickel JC. Impact of medical therapy on transurethral resection of the prostate: a decade of change. Urology. 2001;57:1082
  2. Yu X, Elliott SP, Wilt TJ, McBean AM. Practice patterns in benign prostatic hyperplasia surgical therapy: the dramatic increase in minimally invasive technologies. J Urol. 2008;180:241
  3. Hai MA, Malek RS. Photoselective vaporization of the prostate: initial experience with a new 80 W KTP laser for the treatment of benign prostatic hyperplasia. J Endourol. 2003;17:93
  4. Tan AH, Gilling PJ. Lasers in the treatment of benign prostatic hyperplasia: an update. Curr Opin Urol. 2005;15:55
  5. Elzayat EA, Elhilali MM. Holmium laser enucleation of the prostate (HoLEP): the endourologic alternative to open prostatectomy. Eur Urol. 2006;49:87
  6. Bouchier-Hayes DM. Photoselective vaporization of the prostate–toward a new standard. Prostate Cancer Prostatic Dis. 2007;10:S10
  7. Mottet N, Anidjar M, Bourdon O, Louis JF, Teillac P, Costa P, et al. Randomized comparison of transurethral electroresection and holmium:YAG laser vaporization for symptomatic benign prostatic hyperplasia. J Endourol. 1999;13:127
  8. Kumar SM. Rapid communication: holmium laser ablation of large prostate glands: an endourologic alternative to open prostatectomy. J Endourol. 2007;21:659
  9. Sandhu JS, Ng C, Vanderbrink BA, Egan C, Kaplan SA, Te AE. High-power potassium-titanyl-phosphate photoselective laser vaporization of prostate for treatment of benign prostatic hyperplasia in men with large prostates. Urology. 2004;64:1155
  10. Te AE, Malloy TR, Stein BS, Ulchaker JC, Nseyo UO, Hai MA, et al. Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia: 12-month results from the first United States multicenter prospective trial. J Urol. 2004;172:1404
  11. Volkan T, Ihsan TA, Yilmaz O, Emin O, Selcuk S, Koray K, et al. Short term outcomes of high power (80 W) potassium-titanyl-phosphate laser vaporization of the prostate. Eur Urol. 2005;48:608
  12. Ruszat R, Wyler S, Forster T, Reich O, Stief CG, Gasser TC, et al. Safety and effectiveness of photoselective vaporization of the prostate (PVP) in patients on ongoing oral anticoagulation. Eur Urol. 2007;51:1031
  13. Heinrich E, Schiefelbein F, Schoen G. Technique and short-term outcome of green light laser (KTP, 80W) vaporisation of the prostate. Eur Urol. 2007;52:1632
  14. Kuntz RM. Current role of lasers in the treatment of benign prostatic hyperplasia (BPH). Eur Urol. 2006;49:961
  15. Malek RS, Kuntzman RS, Barrett DM. Photoselective potassium-titanyl-phosphate laser vaporization of the benign obstructive prostate: observations on long-term outcomes. J Urol. 2005;174:1344
  16. Ruszat R, Wyler S, Seifert HH, Reich O, Forster T, Sulser T, et al. Photoselective vaporization of the prostate: subgroup analysis of men with refractory urinary retention. Eur Urol. 2006;50:1040
  17. Gilling PJ, Cass CB, Cresswell MD, Malcolm AR, Fraundorfer MR. The use of the holmium laser in the treatment of benign prostatic hyperplasia. J Endourol. 1996;10:459
  18. Tan AH, Gilling PJ, Kennett KM, Fletcher H, Fraundorfer MR. Long-term results of high-power holmium laser vaporization (ablation) of the prostate. BJU Int. 2003;92:707
  19. Han DH, Chung JW, Kim JY, Jung BJ, Hong JH, Lee SW. Impact of 80 watt KTP photoselective laser vaporization prostatectomy versus transurethral resection of the prostate on prostate volume and severity of obstruction: 6-month results of a prospective trial. J Urol. 2007;177(suppl):611;abstract 1840
  20. Malek RS, Kuntzman RS, Barrett DM. High power potassium-titanyl-phosphate laser vaporization prostatectomy. J Urol. 2000;163:1730

 Study received institutional review board approval.

 For another article on a related topic see page 348.

PII: S0022-5347(09)00538-2

doi: 10.1016/j.juro.2009.02.117

The Journal of Urology
Volume 182, Issue 1 , Pages 133-138 , July 2009