The lasers in urology

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Abstract


A very rapid development of laser technology lead to the fact that many of them have already replaced surgeons with their usual scalpel. Laser technology has taken a place among the methods of treatment of various urological diseases. The features of the physical effect of laser exposure make it possible to characterize laser surgery as safe for the patient and convenient for the doctor. Therefore, along with the improvement of old laser devices, also the development and testing of new ones is constantly carried out. Nowadays the most commonly used lasers in urology are Nd:YAG, Greenlight, diode, Ho:YAG, Tm:YAG lasers and novel thulium fiber laser (TFL). Laser technology is taking place among the recommended methods for the diagnosis and treatment of various urological diseases, such as benign prostatic hyperplasia, urolithiasis, and bladder tumors. The aim of our review was to talk about laser devices that have already taken a place in the arsenal of urologist and about the most interesting developments in the field of laser surgery.


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About the authors

Dmitry V. Enikeev

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: katyalaukhtina@mail.ru
ORCID iD: 0000-0001-7169-2209

Russian Federation, 8-2, Trubetskaya street, Moscow, 119992

MD, PhD

Ekaterina А. Laughtin

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: katyalaukhtina@mail.ru
ORCID iD: 0000-0002-8953-0272
SPIN-code: 6152-0962

Russian Federation, 8-2, Trubetskaya street, Moscow, 119992

Magomed R. Arshiev

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: arshmag10@gmail.com
ORCID iD: 0000-0001-6625-5901
SPIN-code: 2537-8189

Russian Federation, 8-2, Trubetskaya street, Moscow, 119992

Mark S. Taratkin

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: marktaratkin@gmail.com
ORCID iD: 0000-0003-4369-173X
SPIN-code: 1575-3223

Russian Federation, 8-2, Trubetskaya street, Moscow, 119992

Yuri G. Alyaev

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: ugalyaev@mail.ru
ORCID iD: 0000-0002-2937-0983
SPIN-code: 9138-1889

Russian Federation, 8-2, Trubetskaya street, Moscow, 119992

MD, PhD, Professor

Leonid M. Rapoport

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: leonidrapoport@yandex.ru
ORCID iD: 0000-0001-7787-1240
SPIN-code: 1470-1850

Russian Federation, 8-2, Trubetskaya street, Moscow, 119992

MD, PhD, Professor

Petr V. Glybochko

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: rektorat@mma.ru
ORCID iD: 0000-0002-5541-2251

Russian Federation, 8-2, Trubetskaya street, Moscow, 119992

MD, PhD, Professor

References

  1. Gross AJ, Herrmann TR. History of lasers. World J Urol. 2007;25(3):217−220. doi: 10.1007/s00345-007-0173-8.
  2. Schawlow AL. Facts. Nobel Media AB 2014 [cited 2017 4 Jan 2017]. Available from: http://www.nobelprize.org/nobel_prizes/physics/laureates/1981/schawlow-facts.html.
  3. Geusic JE, Marcos HM, van Uitert LG. Laser oscilations in Nd-doped yttrium aluminium, yttrium gallium and gadolinium garnets. Appl Phys Lett. 1964;4(10):182−184. doi: 10.1063/1.1753928.
  4. Mulvaney WP, Beck CW. The laser beam in urology. J Urol. 1968;99(1):112−115. doi: 10.1016/s0022-5347(17)62652-1.
  5. Ашраф Ахмед Али. Трансуретральная лазерная хирургия при доброкачественной гиперплазии предстательной железы: Автореф. дис. … канд. мед. наук. ― СПб., 2003. ― 15 с. [Ashraf Akhmed Ali. Transuretral’naya lazernaya khirurgiya pri dobrokachestvennoy giperplazii predstatel’noy zhelezy. [dissertation abstract] Saint Petersburg; 2003. 15 р. (In Russ).] Доступно по: https://search.rsl.ru/ru/record/01002658995. Ссылка активна на 14.01.2020.
  6. Teichmann HO, Herrmann TR, Bach T. Technical aspects of lasers in urology. World J Urol. 2007;25(3):221−225. doi: 10.1007/s00345-007-0184-5.
  7. Bach T, Herrmann TR, Ganzer R, et al. RevoLix vaporesection of the prostate: initial results of 54 patients with a 1-year follow-up. World J Urol. 2007;25(3):257–262. doi: 10.1007/s00345-007-0171-x.
  8. Камалов А.А., Осмоловский Б.Е. Трансуретральная фотоселективная лазерная вапоризация в лечении аденомы предстательной железы // Урология. — 2008. — №5. — C. 28–31. [Kamalov AA, Osmolovsky BE. Transurethral photoselective laser vaporization in the treatment of prostatic adenoma. Urologiia. 2008;(5):28–31. (In Russ).]
  9. Cornu JN, Ahyai S, Bachmann A, et al. A systematic review and meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic obstruction: an update. Eur Urol. 2015;67(6):1066−1096. doi: 10.1016/j.eururo.2014.06.017.
  10. Misrai V, Roupret M, Guillotreau J, et al. [Greenlight (R) photoselective vaporisation for benign prostatic hyperplasia: a systematic review. (In French)]. Prog Urol. 2013;23(2):77−87. doi: 10.1016/j.purol.2012.10.013.
  11. Gilling PJ, Cass CB, Malcolm AR, et al. Combination holmium and Nd:YAG laser ablation of the prostate: initial clinical experience. J Endourol. 1995;9(2):151−153. doi: 10.1089/end.1995.9.151.
  12. Gilling PJ, Wilson LC, King CJ, et al. Long-term results of a randomized trial comparing holmium laser enucleation of the prostate and transurethral resection of the prostate: results at 7 years. BJU Int. 2012;109(3):408−411. doi: 10.1111/j.1464-410X.2011.10359.x.
  13. Pirola GM, Saredi G, Codas Duarte R, et al. Holmium laser versus thulium laser enucleation of the prostate: a matched-pair analysis from two centers. Ther Adv Urol. 2018;10(8):223−233. doi: 10.1177/1756287218779784.
  14. Zhang J, Wang X, Zhang Y, et al. 1470 nm Diode laser enucleation vs plasmakinetic resection of the prostate for benign prostatic hyperplasia: a randomized study. J Endourol. 2018;33(3):211−217. doi: 10.1089/end.2018.0499.
  15. Teichmann HO, Herrmann TR, Bach T. Technical aspects of lasers in urology. World J Urol. 2007;25(3):221−225. doi: 10.1007/s00345-007-0184-5.
  16. Fried NM, Murray KE. High-power thulium fiber laser ablation of urinary tissues at 1.94 microm. J Endourol. 2005;19(1):25−31. doi: 10.1089/end.2005.19.25.
  17. Enikeev D, Glybochko P, Okhunov Z, et al. Retrospective analysis of short-term outcomes after monopolar versus laser endoscopic enucleation of the prostate: a single center experience. J Endourol. 2018;32(5):417−423. doi: 10.1089/end.2017.0898.
  18. Becker B, Netsch C, Glybochko P, et al. A feasibility study utilizing the thulium and holmium laser in patients for the treatment of recurrent benign prostatic hyperplasia after previous prostatic surgery. Urol Int. 2018;101(2):212−218. doi: 10.1159/000489858.
  19. Dretler SP, Watson G, Parrish JA, et al. Pulsed dye laser fragmentation of ureteral calculi: initial clinical experience. J Urol. 1987;137(3):386−389. doi: 10.1016/s0022-5347(17)44043-2.
  20. Lee J, Gianduzzo TR. Advances in laser technology in urology. Urol Clin North Am. 2009;36(2):189−198. doi: 10.1016/j.ucl.2009.02.004.
  21. Teichman JM, Rao RD, Rogenes VJ, et al. Ureteroscopic management of ureteral calculi: electrohydraulic versus holmium:YAG lithotripsy. J Urol. 1997;158(4):1357−1361. doi: 10.1016/s0022-5347(01)64214-9.
  22. Mi Y, Ren K, Pan H, et al. Flexible ureterorenoscopy (F-URS) with holmium laser versus extracorporeal shock wave lithotripsy (ESWL) for treatment of renal stone < 2 cm: a meta-analysis. Urolithiasis. 2016;44(4):353−365. doi: 10.1007/s00240-015-0832-y.
  23. Гордиенко А.Ю., Мартов А.Г., Андронов А.С., и др. Перкутанная и трансуретральная эндоскопическая хирургия крупных камней верхней трети мочеточника // Вестник Российского научного центра рентгенорадиологии Минздрава России. — 2011. — №11-4. — С. 115–127. [Gordienko А, Martov A, Andronov A, et al. Рercutaneous and transurethral endoscopic surgery for large proximal ureteral stones. Vestnik Rossiiskogo nauchnogo centra rentgenoradiologii Minzdrava Rossii. 2011;(11-4):115–127. (In Russ).]
  24. Попков В.М., Фомкин Р.Н., Понукалин А.Н., Блюмберг Б.И. Современные аспекты лечения уретеролитиаза. Краткая история возникновения и развития контактной литотрипсии // Саратовский научно-медицинский журнал. — 2011. — Т.7. — №S2. — С. 66–70. [Popkov VM, Fomkin RN, Ponukalin AN, Blumberg BI. Modern aspects of the treatment of ureterolithiasis. A brief history of the occurrence and development of contact lithotripsy. Saratov journal of medical scientific research. 2011;7(S2):66–70. (In Russ).]
  25. Ventimiglia E, Traxer OR. What is moses effect: a historical perspective. J Endourol. 2019;33(5):353−357. doi: 10.1089/end.2019.0012.
  26. Traxer OR, Keller EX. Thulium fiber laser: the new player for kidney stone treatment? A comparison with Holmium:YAG laser. World J Urol. 2019. doi: 10.1007/s00345-019-02654-5.
  27. Blackmon RL, Fried NM, Irby PB. Comparison of holmium:YAG and thulium fiber laser lithotripsy: ablation thresholds, ablation rates, and retropulsion effects. J Biomed Opt. 2011;16(7):1−6. doi: 10.1117/1.3564884.
  28. Hardy LA, Vinnichenko V, Fried NM. High power holmium:YAG versus thulium fiber laser treatment of kidney stones in dusting mode: ablation rate and fragment size studies. Lasers Surg Med. 2019;51(6):522−530. doi: 10.1002/lsm.23057.
  29. Andreeva V, Vinarov A, Yaroslavsky I, et al. Preclinical comparison of superpulse thulium fiber laser and a holmium:YAG laser for lithotripsy. World J Urol. 2019;38(2):497−503. doi: 10.1007/s00345-019-02785-9.
  30. Traxer OR, Tsarichenko D, Dymov A, et al. V03-02 FIRST clinical study on superpulse thulium fiber laser for lithotripsy. J Urol. 2018;199(4S):e321−e322. doi: 10.1016/j.juro.2018.02.827.
  31. Burger M, Catto JW, Dalbagni G, et al. Epidemiology and risk factors of urothelial bladder cancer. Eur Urol. 2013;63(2):234−241. doi: 10.1016/j.eururo.2012.07.033.
  32. Babjuk M, Burger M, Compérat E, et al. European Association of Urology (EAU) guidelines on non-muscle-invasive bladder cancer (Ta, T1, and CIS). EAU; 2018. Available from: https://uroweb.org/guideline/non-muscle-invasive-bladder-cancer/.
  33. Mariappan P, Zachou A, Grigor KM. Detrusor muscle in the first, apparently complete transurethral resection of bladder tumour specimen is a surrogate marker of resection quality, predicts risk of early recurrence, and is dependent on operator experience. Eur Urol. 2010;57(5):843−849. doi: 10.1016/j.eururo.2009.05.047.
  34. Saito S. Transurethral en-bloc resection of bladder tumors. J Urol. 2001;166(6):2148−2150.
  35. Wolters M, Kramer MW, Becker JU, et al. Tm:YAG laser en bloc mucosectomy for accurate staging of primary bladder cancer: early experience. World J Urol. 2011;29(4):429−432. doi: 10.1007/s00345-011-0686-z.
  36. Li K, Xu Y, Tan M, et al. A retrospective comparison of thulium laser en bloc resection of bladder tumor and plasmakinetic transurethral resection of bladder tumor in primary non-muscle invasive bladder cancer. Lasers Med Sci. 2019;34(1):85−92. doi: 10.1007/s10103-018-2604-8.
  37. Kramer MW, Wolters M, Herrmann TR. En bloc resection of bladder tumors: ready for prime time? Eur Urol. 2016;69(5):967−968. doi: 10.1016/j.eururo.2016.01.004.
  38. Barzilay B, Lijovetzky G, Shapiro A, et al. The clinical use of CO2 laser beam in the surgery of kidney parenchyma. Lasers Surg Med. 1982;2(1):81−87. doi: 10.1002/lsm.1900020110.
  39. Malloy TR, Schultz RE, Wein AJ, et al. Renal preservation utilizing neodymium:YAG laser. Urology. 1986;27(2):99−103. doi: 10.1016/0090-4295(86)90363-8.
  40. Патент РФ на изобретение RU № 2584080C1. Корепанов В.И. Применение Nd:YAG-лазера в хирургической клинике. [Patent RUS № 2584080C1. Korepanov VI. Primeneniye Nd:YAG-lazera v khirurgicheskoy klinike. (In Russ).] Доступно по: https://yandex.ru/patents/doc/RU2584080C1_20160520. Ссылка активна на 14.01.2020.
  41. Lotan Y, Gettman MT, Ogan K, et al. Clinical use of the holmium: YAG laser in laparoscopic partial nephrectomy. J Endourol. 2002;16(5):289−292. doi: 10.1089/089277902760102767.
  42. Knezevic N, Kulis T, Maric M, et al. Laparoscopic partial nephrectomy with diode laser: a promising technique. Photomed Laser Surg. 2014;32(2):101−105. doi: 10.1089/pho.2013.3646.
  43. Thomas AZ, Smyth L, Hennessey D, et al. Zero ischemia laparoscopic partial thulium laser nephrectomy. J Endourol. 2013;27(11):1366−1370. doi: 10.1089/end.2012.0527.
  44. Lindner U, Weersink RA, Haider MA, et al. Image guided photothermal focal therapy for localized prostate cancer: phase I trial. J Urol. 2009;182(4):1371−1377. doi: 10.1016/j.juro.2009.06.035.
  45. Oto A, Sethi I, Karczmar G, et al. MR imaging-guided focal laser ablation for prostate cancer: phase I trial. Radiology. 2013;267(3):932−940. doi: 10.1148/radiol.13121652.
  46. Van der Poel HG, van den Bergh RC, Briers E, et al. Focal therapy in primary localised prostate cancer: the European association of urology position in 2018. Eur Urol. 2018;74(1):84−91. doi: 10.1016/j.eururo.2018.01.001.
  47. Lovisolo JA, Legramandi CP, Fonte A. Thermal ablation of small renal tumors − present status. Scientific World J. 2007;7:756−767. doi: 10.1100/tsw.2007.144.
  48. De Jode MG, Vale JA, Gedroyc WM. MR-guided laser thermoablation of inoperable renal tumors in an open-configuration interventional MR scanner: preliminary clinical experience in three cases. J Magn Reson Imaging. 1999;10(4):545−549. doi: 10.1002/(sici)1522-2586(199910)10:4<545::aid-jmri7>3.0.co;2-r.
  49. Thomas RW, Herrmann EN, Nagel U, et al. EAU guidelines on laser technologies. Eur Urol. 2012;61(4):783−795. doi: 10.1016/j.eururo.2012.01.010.

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