Abstract：Transurethral laser surgery for prostate is a recently recognized and widely used surgical method. Compared with traditional open prostate surgery or transurethral resection of the prostate, the surgical complications of transurethral laser surgery for prostate are significantly reduced and the safety is increased. However, due to the different luminous patterns and energy conversion effects of different wavelengths of laser and the different depth of tissue penetration, there are also differences in surgical methods and postoperative complications. Common complications include urinary incontinence, hemorrhage, urinary tract infection, etc. This article reviews the complications related to different types of prostate laser surgery.
罗长城, 陈忠. 经尿道前列腺激光手术并发症[J]. 微创泌尿外科杂志, 2022, 11(1): 65-69.
Luo Changcheng, Chen Zhong. Complications of transurethral laser surgery of the prostate. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2022, 11(1): 65-69.
[1] COSTELLO AJ, JOHNSON DE, BOLTON DM. Nd:YAG laser ablation of the prostate as a treatment for benign prostatic hypertrophy[J]. Lasers Surg Med,1992,12(2):121-124. [2] 陈忠,叶章群.激光在良性前列腺增生症手术中的应用[J].临床泌尿外科杂志,2015,30(9):767-771,775. [3] WHITING D, PENEV B, GUEST K, et al. Holmium laser enucleation of the prostate:A single-centre case series of 1000 patients[J].J Clin Urol,2018,17(2):e185-e186. [4] 罗飞,张志华,李昭夷,等.“五步法”大功率绿激光汽化术治疗大体积前列腺增生的疗效分析[J].中华泌尿外科杂志,2021,42(7):530-534. [5] NICKEL JC, SAAD F. The American urological association 2003 guideline on management of benign prostatic hyperplasia: a Canadian opinion[J]. Can J Urol,2004,11(2):2186-2193. [6] BECKER B, HERRMANN T, GROSS AJ, et al. Thulium vapoenucleation of the prostate versus Holmium laser enucleation of the prostate for the treatment of large volume prostates: preliminary 6-month safety and efficacy results of a prospective randomized trial[J]. World J Urol,2018,36(10):1663-1671. [7] ZHANG J, OU Z, ZHANG X, et al. Holmium laser enucleation of the prostate versus Thulium laser enucleation of the prostate for the treatment of large-volume prostates > 80 ml: 18-month follow-up results[J]. World J Urol,2020,38(6):1555-1562. [8] LAI S, PENG P, DIAO T, et al. Comparison of photoselective green light laser vaporisation versus traditional transurethral resection for benign prostate hyperplasia: an updated systematic review and meta-analysis of randomised controlled trials and prospective studies[J]. BMJ Open,2019,9(8):e028855. [9] ELZAYAT EA, HABIB E, ELHILALI MM. Holmium laser enucleation of the prostate: a size-independent new "Gold standard"[J]. Urology,2005,66(5 Suppl):108-113. [10] MONTORSI F, NASPRO R, SALONIA A, et al. Holmium laser enucleation versus transurethral resection of the prostate: results from a 2-center, prospective, randomized trial in patients with obstructive benign prostatic hyperplasia[J]. J Urol,2004,172(5 Pt 1):1926-1929. [11] REICH O, GRATZKE C, STIEF CG. Techniques and long-term results of surgical procedures for BPH[J]. Eur Urol,2006,49(6):970-978; discussion 978. [12] ENIKEEV D, GLYBOCHKO P, RAPOPORT L, et al. Impact of endoscopic enucleation of the prostate with Thulium fiber laser on the erectile function[J]. BMC Urol,2018,18(1):87. [13] 黄邦高,黄新冕,何翔,等.直出绿激光前列腺汽化剜除术治疗良性前列腺增生的疗效和安全性[J].中华泌尿外科杂志,2021,42(10):758-762. [14] HERMANNS T, GROSSMANN NC, WETTSTEIN MS, et al. Absorption of irrigation fluid occurs frequently during high power 532nm laser vaporization of the prostate[J]. J Urol,2015,193(1):211-216. [15] 周发友,张书贤,沈亚军,等.1470 nm激光前列腺汽化与剜除术中灌注液吸收对内环境的影响[J].中华腔镜泌尿外科杂志:电子版,2018,12(4):274-277. [16] ENIKEEV D, NETSCH C, RAPOPORT L, et al. Novel Thulium fiber laser for endoscopic enucleation of the prostate: A prospective comparison with conventional transurethral resection of the prostate[J]. Int J Urol,2019,26(12):1138-1143.
