Laser Wars in Prostate Enucleation: Holmium vs Thulium Laser

Mehmet YILMAZ, Engin KAYA, Eymen GAZEL, Serdar YALÇIN, Sercan YILMAZ, Halil Çağrı AYBAL, Lütfi TUNÇ

Abstract

Introduction: The use of lasers in surgical treatment of benign prostatic hyperplasia (BPH) has gained popularityas a minimally invasive approach to TURP. Prostate enucleation with both Holmium and Thulium lasers has lowperioperative and postoperative complications and good surgical results. In this study, we aimed to discuss theefficacy of Holmium and Thulium lasers in provstate enucleation in the light of literature.Matherials and Methods: The PubMED / Medline database was searched in the publications of the last 10 yearsbetween 2009-2019 using the words ’’ holmium’ ’or’’thulium ’’ AND ’’ benign prostatic hyperplasia’ ’or’’ BPH ’.Conclusion: HoLEP and ThuLEP are minimally invasive surgical methods alternative to TUR P and openprostatetectomy with acceptable results. Understanding of the efficacy, safety, and complications of HoLEP andThuLEP will increase the interest in these surgeries and achieve better outcomes.

Özet

Giriş: Benign Prostat Hiperplazisi(BPH)cerrahi tedavisinde lazer kullanımı TUR P ‘ye alternatif bir minimal invaziv