Un point technique sur la photovaporisation prostatique à l'aide du laser Greenlight®

Laser has been used in urology for some time, but new laser sources could be effective in the surgical treatment of benign prostatic hyperplasia. The GreenLight® laser has a wavelength of 532 nm, allowing vaporization of prostatic tissue without bleeding and with the use of physiological saline. The technique uses an endoscope equipped with an operating sheath, a 120 Watt laser and a disposable 600 micron fibre. The preliminary results are encouraging, especially in the growing number of patients treated with anticoagulants or platelet antiaggregants. The operating time of this technique appears to be longer than that of transurethral resection, but the length of hospital stay and catheterization time are shorter. This technique should be able to be performed as an outpatient procedure, but is not reimbursed by French social security at the present timer.