DEALT PATHOLOGIES :: BENIGN PROSTATIC HYPERPLASIA

	It concerns over 50-year-old men and it is due to the increase in extent and volume of the prostatic gland
Symptomatology:	1 Strangury 2 Pollakiuria (frequent stymulus to urination) 3 Aching pubis and perineum (sense of overpubic and perineal heaviness) 4 Nycturia (the patient often gets up at night to urinate) 5 Trouble urinating
Diagnosis:	1 PSA 2 Lower abdomen ultrasound scanning 3 Uroflowmeter 4 Evaluation of the post-urinating residue.
Medical therapy:	1 Alpha blocking medicines 2 Inhibitory 5 alpha reductase
Surgery Therapy:	1 TURP resection by endoscopy of the prostatic tissue, by a loop which cuts and coagulates by means of the power that runs through it 2 Transvesical prostatic adenomectomy 3 Holmium laser: it grants incision and removal of the prostatic lobes. Results are similar to the ones obtained by TURP, but here there is the advantage of poor bleeding and short catheterism (48 hours at most). The disadvantage is represented by the appearance of irritative syndrome, since this tecnique goes deep, conveying heat to the prostatic capsule (this disadvantage, anyway, can be eliminated by the skill of the surgeon) 4 KTP laser (Potassium, Tytanil, Phosphate): it grants a selective photoselective vaporization of the prostate (PVP). The advantages consist in a decreased bleeding, a catheterism during less than 30 hours, a preservation of ejaculatiion and resumption of work within 7-10 days. The irritative syndrome is more likely to appear if the treatment concerns prostatic glands of remarkable extent which need greater power. 5 Thulium laser: it grants the remarkable advantage of being able to carry out both of the actions of the previous lasers with fewer side effects. This laser allows us to attack even prostate of greater extent (80-100 gr).
	The Laser Urology Centre Arezzo Italy was born thanks to the experience of Doctor Stefano Mattioli, who was the italian urologist who first introduced the use of laser in urologic surgery rooms ever since 1984. Doctor Alessandro Picinotti is another promoter of the centre and the one who means to continue such procedures through divulgation and spreading of information about the use of laser in urology.
Conferences
	CONFERENCE AURO, TAORMINA 2008 3 YEARS OF USE OF TULLIO LASER TREATMENT FOR BENIGN PROSTATIC HYPERPLASIA Dr A. PICINOTTI, Dr S. MATTIOLI, Dr.ssa M. SBRAGI Centre Urologialaser.it
	TRATAMIENTO DEL LA HIPERTROFIA BENIGNA DE PROSTATA CON EL LASER REVOLIX Dr S. MATTIOLI, Dr R. MUNOZ, Dr C. RECASENS, Dr J. CORTADA, Dr J.M. URMENETA y H. TEICHMAN Arch. Esp. Urol., 61, 9 (1.037-1.043), 2008
	SIU Centennial Celebration September 2-6, 2007, Paris THREE YEARS REVIEW OF 170 PATIENTS TREATED FOR BPH WITH REVOLIX 2 MICRON CONTINUOUS WAVE LASER S. Mattioli, Istituto Clinico S. Ambrogio, Milano
	22ND European Congress EAU 21-24 Marzo 2007, Berlino TWO YEARS REVIEW OF 120 PATIENTS TREATED FOR BPH USING THE REVOLIX 2 MICRON CONTINUOUS WAVE LASER Mattioli S. Istituto Clinico S. Ambrogio. Milan, Italy
	First International Workshop, 29-30 Aprile 2006, Mombay, India JASLOK HOSPITAL AND RESEARCH CENTRE CONDUCTS THE FIRST INTERNATIONAL WORKSHOP WITH THE REVOLUTIONARY NEW CONTINUOUS WAVE SURGICAL LASER, REVOLIX
	20 ND EAU Congress, Marzo 2005, Istanbul, Turchia VAPORIZATION OF THE PROSTATE: INITIAL EXPERIENCE WITH A THULIUM LASER FOR TREATMENT OF BENIGNIN PROSTATIC HYPERPLASIA Dott. S. Mattioli, Istituto Clinico S. Ambrogio, Milano
	Shanghai Chapter Of Chinese Society Of Urology, Dicembre 2004 PRELIMINARY EXPERIENCE OF REVOLIX 2 MICRON LASER SYSTEM IN MINIMAL INVASIVE UROLOGICAL SURGERY Dott. S. Mattioli, Istituto Clinico S. Ambrogio, Milano
	Congresso SIU, Giugno 2004, Milano (IT) VAPORIZZAZIONE FOTOSELETTIVA DELLA PROSTATA CON LASER KTP 80 W: PRIMO ANNO DI ESPERIENZA IN ITALIA Dott. S. Mattioli*, Dott. A. Picinotti, Dott. sa S. Civinini, Dott. S. Tenti, Prof. P.P. Paoletti. "Istituto Clinico S.Ambrogio" Milano. "Casa di Cura Poggio del Sole" Arezzo
	Congresso Auro, Ottobre 2003, Roma TRATTAMENTO CHIRURGICO DELL'IPB CON LASER KTP 80 W, PRIMI 6 MESI DI ESPERIENZA Dott. A. Picinotti, Dott. S. Tenti, Prof. P.P. Paoletti, Casa di Cura Poggio del Sole, Arezzo
	Wce Settembre 2003, Montreal, Canada PHOTOSELECTIVE LASER VAPORIZATION OF PROSTATE (PVP) FOR TREATMENT OF BENIGN PROSTATIC HYPERPLASIA (BPH) Dott. S. Mattioli, Istituto Clinico S. Ambrogio, Milano
	18 Nd Eau Congress, Marzo 2003, Madrid, Spagna HIGH POWER KTP/532 LASER FOR PHOTOSELECTIVE VAPORIZATION OF PROSTATE (PVP) Dott. S. Mattioli, Istituto Clinico S. Ambrogio, Milano
Abstracts
	Systematic Evaluation of a Recently Introduced 2-Micron Continuous Wave Thulium Laser for Vaporesection of the Prostate. Wendt-Nordahl G, Huckele S, Honeck P, Alken P, Knoll T, Michel MS, Häcker A
	Thulium laser versus standard transurethral resection of the prostate: a randomized prospective trial. Xia SJ, Zhuo J, Sun XW, Han BM, Shao Y, Zhang YN.
	Predictability of irritative voiding symptoms following photoselective laser vaporization of the prostate.
	KTP laser photovaporization of the prostate.
	Thulium Laser versus Standard Transurethral Resection of the Prostate: A Randomized Prospective Trial.
	RevoLix vaporesection of the prostate: initial results after 54 patients with an one-year follow-up.
	Safety and Effectiveness of Photoselective Vaporization of the Prostate (PVP) in Patients on Ongoing Oral Anticoagulation.
	New laser treatment approaches for benign prostatic hyperplasia.
	Safety and efficacy of the potassium-titanyl-phosphate laser and photoselective vaporization of the prostate for benign prostatic hyperplasia.
	Impact of prostate-specific antigen level and prostate volume as predictors of efficacy in photoselective vaporization prostatectomy: analysis and results of an ongoing prospective multicentre study at 3 years.
	Current role of lasers in the treatment of benign prostatic hyperplasia (BPH).
	Photoselective vaporization of the enlarged prostate with KTP laser: long-term results in 240 patients.
	Photoselective laser vaporization prostatectomy in men receiving anticoagulants.
	Thulium laser resection of prostate-tangerine technique in treatment of benign prostate hyperplasia.
	Photoselective potassium-titanyl-phosphate laser vaporization of the benign obstructive prostate: observations on long-term outcomes.
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