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Updated: May 7, 2026
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Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia Using a 980 nm Diode Laser
Published on: May 5, 2020
Best laser for prostatectomy in the year 2013
Pankaj N Maheshwari1, Nitin Joshi, Reeta P Maheshwari
1Department of Urology, Aditya Birla Memorial Hospital, Chinchwad, Pune, Maharashtra, India.
Summary
Laser prostatectomy offers alternatives to traditional surgery for benign prostatic hyperplasia. While several lasers exist, the review assesses their effectiveness and safety, particularly for patients on blood thinners, to determine the best option.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Laser Technology
Background:
- Benign prostatic hyperplasia (BPH) management has evolved significantly with laser technologies.
- Traditional transurethral resection of prostate (TURP) has limitations, including bleeding and complications for patients on anticoagulants.
Purpose of the Study:
- To review and compare various laser prostatectomy techniques used for BPH.
- To identify the most effective and safest laser option for prostatectomy in 2013, considering TURP's drawbacks.
Main Methods:
- Literature review of laser prostatectomy studies over the past two decades.
- Comparative analysis of different laser types (Nd:YAG, Holmium, GreenLight, Thulium, Diode) and their outcomes.
Main Results:
- Neodymium:YAG lasers are no longer primary choices.
- Holmium laser enables effective enucleation; GreenLight laser offers a minimally bloody procedure with quick recovery; Thulium laser provides faster cutting; Diode laser is portable.
- Laser prostatectomy aims to reduce TURP complications like bleeding and transfusion needs, especially in patients on antiplatelet/anticoagulant therapy.
Conclusions:
- No single laser is definitively declared the "best" in 2013, but several show promise in overcoming TURP limitations.
- The choice of laser depends on specific patient factors and surgeon preference, with ongoing evaluation needed.
