State of the Art of Thulium Laser Enucleation and Vapoenucleation of the Prostate: A Systematic Review

Urology. 2020 Feb:136:19-34. doi: 10.1016/j.urology.2019.10.022. Epub 2019 Nov 11.

Abstract

Tm:YAG laser operates at a wavelength of 1940-2013 nm in a continuous wave mode, which enables smooth incision and rapid vaporization of prostatic tissue, with a shallow penetration of only 0.2 mm. These characteristics make Tm:YAG a versatile laser, allowing the surgeon to perform resection, vaporization, and vapoenucleation. This systematic review aims to summarize the current evidence of safety and efficacy, long-term durability, impact on sexual function following Tm:YAG laser enucleation and vapoenucleation of the prostate and to compare the outcomes of these procedures vs other surgical treatments of benign prostatic hyperplasia.

Publication types

  • Systematic Review

MeSH terms

  • Humans
  • Laser Therapy*
  • Lasers, Solid-State / therapeutic use*
  • Male
  • Prostatectomy / methods*
  • Thulium*

Substances

  • Thulium