Recent Interventional Management in Treatment of BPH

Abstract

Benign prostatic hyperplasia (BPH), is one of the most common problems of aging men, it can be associated with bothersome lower urinary tract symptoms (LUTS) that affect quality of life. The range of therapeutic options for the management of BPH continues to widen as technology continues to evolve and improve. But when surgical treatment is considered, transurethral resection of the prostate (TURP) is still the gold standard. Laser prostatectomy Laser technology was applied to treat BPH for more than 15 years ago. Technique consists of coagulation, vaporization, resection, and dissection, depending on the wavelength, power, and type of laser emission (Kuntz, 2007). Holmium laser resection of the prostate (HoLRP) The Holmium laser (2140 nm) is a pulsed, solid-state laser that has been used in urology for a variety of endourological applications in soft tissues and for the disintegration of urinary calculi. Prostatectomy using this energy source is a relatively new technique with the first patient reports appearing in 1995 (Le Duc et al., 1999).