UROLOGY/LASER TREATMENT : Study calls holmium laser therapy 'the new gold standard' for enlarged prostate treatment

Based on the results of the longest comprehensive assessment to date of holmium laser therapy (www.mcgill.ca/tcpsych/channels/news/174421), researchers suggest that the biophotonic technology may now be safely considered the new gold standard for treating benign prostatic hyperplasia (BPH), which affects most men as they age. The research team, from the McGill University Health Centre (MUHC), presented findings demonstrating short- and long-term benefit of the laser treatment during the 2011 Annual Meeting of the American Urology Association.

BPH can cause urination and bladder problems; corrective surgery has been the typical treatment. But the team at MUHC has used holmium laser therapy of the prostate, also known as Holmium Laser Enucleation of the Prostate (HoLEP), since 1998 as an alternative. “Treating small- to moderate-size prostates by regular transurethral resection of the prostate (TURP)—a surgical technique that removes part of the prostate gland—is still the chosen treatment for the majority of patients,” explains Dr. Mostafa Elhilali, Stephen Jarislowsky Chair of Urology at McGill University and urologist at the MUHC, adding that the approach is plagued by high rates of recurrence and the need for re-treatment.

The study followed nearly 1,000 patients for 10 years; findings showed that with HoLEP complication rates were minimal and implied less need for further treatment (<1%) than TURP (10–16%), even up to a decade later. “Patients treated with HoLEP also have reduced pain and shorter hospital stays than those who undergo an open surgery,” said Dr. Elhilali. “They are often able to resume normal activities within a week and have few to no sexual side effects.”

In addition, the researchers say HoLEP is effective in treating all sizes of prostatic enlargement. Other laser techniques, such as therapy using the GreenLight laser (American Medical Systems, Minnetonka, MN), are effective only for minimal to moderate prostate enlargement—and are not better than TURP. Researchers at MUHC have tested and used the GreenLight Laser since 2005; another of their studies showed it to be less effective in treating larger prostates.

More BioOptics World Current Issue Articles
More BioOptics World Archives Issue Articles

Get All the BioOptics World News Delivered to Your Inbox

Subscribe to BioOptics World Magazine or email newsletter today at no cost and receive the latest news and information.

 Subscribe Now
Related Articles

Boston Scientific, Lumenis renew agreement

Medical device maker Boston Scientific and holmium laser technology developer Lumenis recently inked a five-year contract extending their existing commercial agreement.

OCT shows potential in measuring bladder cancer tumor grade

Research presented recently examined the potential use of optical coherence tomography (OCT) in determining tumor grade in bladder urothelial carcinoma.

Laser therapy system treats benign prostatic hyperplasia and enlarged prostate

American Medical Systems recently launched its GreenLight XPS (Xcelerated Performance System) for laser treatment of benign prostatic hyperplasia (BPH) or enlarged prostate.

VASCULAR MEDICINE/LASER THERAPY: Excimer lasers open blocked arteries

Used to unblock coronary and peripheral arteries for placement of stents, excimer lasers are now being tested for use to literally stop heart attacks in their tracks.

Neuro15 exhibitors meet exacting demands: Part 2

Increasingly, neuroscientists are working with researchers in disciplines such as chemistry and p...

Why be free?

A successful career contributed to keeping OpticalRayTracer—an optical design software program—fr...

LASER Munich 2015 is bio-bent

LASER World of Photonics 2015 included the European Conferences on Biomedical Optics among its si...

White Papers

Understanding Optical Filters

Optical filters can be used to attenuate or enhance an image, transmit or reflect specific wavele...

How can I find the right digital camera for my microscopy application?

Nowadays, image processing is found in a wide range of optical microscopy applications. Examples ...



Twitter- BioOptics World

Copyright © 2007-2016. PennWell Corporation, Tulsa, OK. All Rights Reserved.PRIVACY POLICY | TERMS AND CONDITIONS