Benign prostatic hyperplasia (BPH) with 2-micron laser surgery

Benign prostatic hyperplasia (BPH) is a disease that seriously affects the health and quality of life of elderly men. Although medication can slow down the progression of the disease, a significant number of patients still need surgical treatment.

2nm laser surgical system" is a brand new technology, which was introduced from Germany in 2006, and is in the leading position in the world. 2 micron laser is a continuous wave, high-power laser with a wavelength of 2 microns, the working range is within 2 mm of the laser fiber, and tissues outside of the 2 mm will not be damaged, due to the strong vaporization and strengthening of the tissues, and the cut surface penetration is only between 2 microns, therefore, it is not necessary to use the laser for the treatment. Only between 2 microns, so named. It gathers many advantages of green laser "vaporization" method and holmium laser "cutting" technology. 2-micron laser penetration depth in the tissue is only 0.3 mm, and the coagulation layer left after removing the hyperplastic tissue is only 1 mm.

The difference between 2-micron laser surgery for prostate enlargement and traditional treatment for prostate enlargement:

Traditionally, surgical methods for treating prostate enlargement have included open prostatectomy and transurethral resection of the prostate (TURP), but there are many complications and limitations associated with these methods. Even TURP, the "gold standard" for BPH surgery, has many shortcomings: the TURP procedure is similar to peeling potatoes, each knife can only cut off a small piece of hyperplastic tissue, the larger the tissue, the more knives are used to remove it, the longer the operation time is, and at the same time, it is necessary to continuously electrocoagulate to stop the bleeding, the blood vessels of the incised surface are exposed, and the irrigation fluid is easily absorbed by the body, resulting in watery eyes, which can be easily absorbed by the body. The rinsing fluid is easily absorbed by the body, causing water intoxication and life-threatening illness. In this way, the skill of the operator and the size of the prostate determine the safety and efficacy of the operation. Generally speaking, 1 gram of tissue per minute is considered to be a skilled surgeon, and the size of the gland becomes a key factor in the efficacy of TURP. For this reason, most surgeons will operate on patients with less than 60-80 grams of tissue, and only a few top specialists are not bound by the size of the prostate. In most cases, surgeons try to shorten the operation time as much as possible in order to ensure the safety of the operation, thus sacrificing the thoroughness of the resection. According to statistics, the average residual glandular tissue after TURP is as high as 50%, which is an important cause of postoperative recurrence. In addition, urinary incontinence and hemorrhage are serious complications. For the treatment of large-volume BPH, open prostatectomy is still used in most hospitals, but open prostatectomy is more difficult to stop bleeding intraoperatively, bleeding is more, and the surgery is more damaging to the surrounding tissues and organs, and postoperative complications such as bladder spasms and incision infections are likely to occur, which cause more pain to the patients.

The 2-micron laser treatment system is the latest technology used to treat BPH, which applies high-energy laser to vaporize and cut the prostate tissue and has good intraoperative hemostasis. Intraoperative bleeding is low, the field of operation is clear, and blood transfusion is not required. Postoperative indwelling urinary catheter time is short, postoperative recovery is fast and less painful, and patients can almost instantly improve lower urinary tract symptoms.