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Urinary Tract Calculi VI: Surgical Management

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Updated: Sep 27, 2025

Focal Laser Ablation of Prostate Cancer: An Office Procedure

Focal Laser Ablation of Prostate Cancer: An Office Procedure

Published on: March 30, 2021

Laser technology in urologic oncology.

Mauro Ragonese¹, Francesco Dibitetto¹, PierFrancesco Bassi¹

¹Unit of Urology, Department of Surgical and Medical Sciences, University Hospital Agostino Gemelli-IRCCS, Rome, Italy.

|April 15, 2022

Summary

This summary is machine-generated.

Laser technology is now a gold standard in urology for stone and benign prostate enlargement surgery. Its precise application in urologic oncology offers improved functional outcomes for penile, urothelial, and prostate cancers.

Keywords:

CO2 laser Cancer Holmium laser Thulium laser greenlight laser laser

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Area of Science:

Urology
Oncologic Surgery
Laser Technology

Background:

Laser technology has been utilized in urology since the 1980s for various surgical applications.
Advancements in laser technology have established it as a gold standard for treating kidney stones and benign prostate enlargement (BPE).

Purpose of the Study:

To review and describe the applications of laser energy in urological cancers.
To focus specifically on the use of lasers in penile, urothelial, and prostate cancer treatment.

Main Methods:

Literature review of laser applications in urology.
Analysis of studies focusing on laser use in oncologic urology.

Main Results:

Laser energy plays a significant role in focal therapy and conservative treatments for urologic oncology.
Improved functional outcomes with minimal impact on oncological results have been observed.
Laser technology is increasingly used in penile surgery, with recommendations in urological guidelines.
A defined role for lasers in managing upper tract urothelial tumors and non-muscle invasive bladder cancer has been demonstrated.
Focal therapy strategies for prostate and renal cancer benefit from precise laser technology.

Conclusions:

Laser energy is a precise tool for various urological conditions, including cancers.
Its application in urologic oncology, particularly for penile, urothelial, and prostate cancers, is expanding and supported by guidelines.
Laser technology facilitates conservative and focal treatment strategies, enhancing functional outcomes in urologic cancer care.