About this Research Topic
Symptomatic bladder outlet obstruction due to benign prostate hypertrophy constitutes one of the leading health problems of the aging male. When medical treatment fails, surgery offers permanent symptom alleviation. Transurethral prostate surgical treatment has seen a significant technological evolution during the last decade, along with advancements in surgical techniques. The industry has pushed the limits creating novel lasers and additional tools offering maximum patient satisfaction and increased surgical efficacy.
The development of new holmium: yttrium-aluminum-garnet (Ho:YAG) devices with high power settings has elevated the holmium laser enucleation of the prostate (HoLEP) over transurethral resection and open prostatectomy to the status of the gold standard. Ho:YAG pulse modification technology (Moses™) and novel lasers like Thulium: yttrium-aluminum-garnet (Tm:YAG) and Thulium fibre laser (TFL) allow urologists to employ a wide variety of settings and work in a continuous, pulsed, or superpulsed mode. However, issues with high power and increasing intravesical pressures continue to raise concerns. Research groups have been unable to demonstrate a clear benefit of one laser or surgical technique modification over the other.
Finally, new minimally invasive technologies like water vapor treatment (Rezum), prostatic urethral lift (UroLift), and Aquablation therapy offer reliable alternatives in selected cases.
The editors of this special issue invite research teams to submit articles for consideration that cover the technical aspects and procedures of transurethral prostate surgery, present tactics, and settings for various scenarios, and describe new developments in this fascinating field. In a subject that continues to evolve, the goal is to share the latest innovations while incorporating novel perspectives.
The development of new holmium: yttrium-aluminum-garnet (Ho:YAG) devices with high power settings has elevated the holmium laser enucleation of the prostate (HoLEP) over transurethral resection and open prostatectomy to the status of the gold standard. Ho:YAG pulse modification technology (Moses™) and novel lasers like Thulium: yttrium-aluminum-garnet (Tm:YAG) and Thulium fibre laser (TFL) allow urologists to employ a wide variety of settings and work in a continuous, pulsed, or superpulsed mode. However, issues with high power and increasing intravesical pressures continue to raise concerns. Research groups have been unable to demonstrate a clear benefit of one laser or surgical technique modification over the other.
Finally, new minimally invasive technologies like water vapor treatment (Rezum), prostatic urethral lift (UroLift), and Aquablation therapy offer reliable alternatives in selected cases.
The editors of this special issue invite research teams to submit articles for consideration that cover the technical aspects and procedures of transurethral prostate surgery, present tactics, and settings for various scenarios, and describe new developments in this fascinating field. In a subject that continues to evolve, the goal is to share the latest innovations while incorporating novel perspectives.
Keywords: Transurethral Surgery, Benign Prostate Hypertrophy, Genitourinary Surgery, New Developments and Concerns
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