FiberPort Laser physics and procedural efficiency Compared to other lasers for urologic applications, GreenLight Laser Therapy 532 nm wavelength is highly selectively absorbed in tissue hemoglobin and it is not impeded by the procedural irrigant. Thulium The operative technique most closely resembles TURP as compared to other lasers. Laser energy was transmitted using an 800-micron, reusable, front-firing laser fiber (RigiFib 800, LISA Laser products, Katlenburg, Germany). The thulium (Tm) laser has a wavelength of 2013 nm and a penetration depth of 0.25 mm, using water as the absorbing chromophore [ 48 ]. Unlike holmium, energy is released in a visible continuous wave [ 48 ]. Versatile The vela XL Laser is a high-performance thulium laser that is designed for various urological procedures. GREENLIGHT LASER ENUCLEATION OF THE PROSTATE VS. PHOTOVAPORIZATION OF THE PROSTATE Misrai et al. Design Systematic review and meta-analysis, conducted in accordance with the Preferred Reporting Items for Systematic … 1 Its 532nm wavelength vaporizes prostate tissue without charring and limits penetration, leaving a thin rim of coagulated tissue that aids in hemostasis. Performing 180 Watt Greenlight Laser Prostatectomy Using Periprostatic Block. Confidential and Understanding Care. generate mid-infrared light through supercontinuum generation or optical parametric oscillators. The term “fractional” means that only a percentage of the skin surface is affected with each pass of the laser. College Physics (We now know from the Special Theory of Relativity that this statement is actually an excellent approximation applicable to all situations where the speed is appreciably less than the speed of light, c.) THE NEWTON is the SI unit of force. Laser Photo-Vaporization of the Prostate (PVP The institution's forefront in treating benign prostate enlargement features the advance technology of Thulium Surgical Laser System. 9,10,11,12,13 PVP uses a high-powered potassium-titanyl-phosphate laser or a lithium triborate laser that emits light at a wavelength of 532 nm, which is in the green portion of the light spectrum. The Wooden Wagon is a store featuring wooden toys and games from Europe - We stock a broad selection of natural European wooden toy animals, Ostheimer Waldorf toys, building blocks, marble runs, art and craft supplies, Erzgebirge folk art Christmas decorations, stuffed animals, and natural toys for pretend play. This wavelength is absorbed in any tissue by the ubiquitous water molecule. The effect is to produce well-collimated light that is highly directional. • Laser energy is absorbed by haemoglobin , but not by water. Green light laser has a short learning curve, is nearly blood-less with good immediate results. COLLEGE PHYSICS Ninth Edition . Comparison Between Thulium Laser VapoEnucleation and GreenLight Laser Photoselective Vaporization of the Prostate in Real-Life Setting: Propensity Score Analysis. The key difference between holmium and thulium is that holmium is relatively soft, whereas thulium is very soft and we can cut it with a knife.. Holmium and thulium are chemical elements in the f block of the periodic table of elements. Daniele Castellani, Luca Cindolo, Cosimo De Nunzio, Mirko Di Rosa, Francesco Greco, Luca Gasparri, Vincenzo Maria Altieri, Luigi Schips, Andrea Tubaro, Marco Dellabella. Chris gives balanced advice to men regarding prostate cancer management best suited to their situation. Where the Advantages of RevoLix Thulium Laser? The investigators are now proposing to compare two laser techniques for treating Benign prostate hyperplasia (BPH); Another advantage of thulium laser is its shallowest penetration depth compared to holmium and green-light laser , which allows more accurate resection and might reduce the risk of bladder perforation. Green Light Laser/ Green Light Procedure Another minimally invasive surgical option used with great success by Dr. Bellman to treat BPH, or enlarged prostate is the Green Light Laser Procedure. Wu DC, Friedmann DP, Fabi SG, Goldman MP, Fitzpatrick RE. As the surgeon directs the laser at the prostate, the intense pulses of light emitted from the fiber are absorbed by the blood. The procedure uses the technology of high-powered laser light combined with fiber optics to vaporize the overgrowth of prostate cells quickly and accurately. 9 As a result, VIT is not impeded by the irrigating agent during the procedure, and can efficiently and rapidly vaporize prostatic tissue. With Green Light Laser technology tissue is evaporated and ablated but biopsy can not be taken so one can easily miss out malignancy. Laser enucleation can be done with different laser systems. The laser energy quickly vaporizes and precisely removes the enlarged prostate tissue in a virtually bloodless procedure. Hence for fibrous glands it is less effective. The investigators are now proposing to compare two laser techniques for treating Benign prostate hyperplasia (BPH); Holmium Laser Enucleation of the Prostate (HOLEP) versus (greenlight) XPS which is a recently available technology in our center and is more efficient hence our choice to include patients with any size prostate. Objective To assess the efficacy and safety of green-light laser photoselective vaporisation of the prostate (PVP) compared with transurethral resection of the prostate (TURP) for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). Whether your problems are pre-cancerous areas, sun spots, age spots, rough skin, wrinkles, acne scars or surgical scars, Fraxel Thulium laser treatment offers improvements that previously were only available through more invasive laser procedures, which often required extensive healing and discomfort. An important difference between the Greenlight laser and holmium and thulium is that its only urological application is prostate ablation. Laser light can be emitted in a tight beam that does not grow in size at a distance from the laser. THEORY AND PROBLEMS OF. Materials and Methods: A 40 W thulium fiber laser operating at a wavelength of 1.94 µm delivered radiation in a continuous-wave or pulsed mode (10 msec) through either 300-µm- or … Academia.edu is a platform for academics to share research papers. The most popular of these wavelengths are; Thulium, Holmium and KTP (sometimes referred to as; “green-light laser”). Took a while to re-train the urinary sphincter control. Thulum laser has a wavelength of 2 um, which is nearing the absorption peak of water, therefore it has the most efficient vaporization . Although each of these wavelengths can be used to vaporize prostatic tissue, there are important differences. The language was restricted to English. FREDERICK J. BUECHE, Ph.D. Objectives: To compare in daily practice efficacy and safety of standard 180-Watt GreenLight laser photo-selective vaporization (PVP) and Thulium laser Vaporesection of the prostate (ThuVEP). For laser ERBT, we used FiberLase U1 (NTO IRE-Polus, Russia), a thulium fiber laser with maximum power of 120 W and wavelength of 1.94μm (settings: energy at 1.0 J, power at 10 W) and a working element with an inner sheath for laser fiber (600 nm). All laser surgeries were performed or super- technical principles, enucleation of the adenoma from vised by a single surgeon (M.M.E.) Unlike KTP, ThLRP retrieves prostatic tissue for biopsy, has a shorter learning curve than HoLEP. Thanks to the advanced Thulium laser surgery used by Greenlight Urology, there will normally be only minor bleeding. We offer diagnostic testing in our office, which avoids hospital costs. This is why only a small amount of blood is lost during this type of surgery. A Green Light Laserscope («green laser") allows to burn away (vaporize) excess prostate tissue due to the laser power of 180 watts. Semiconductor diode lasers are the usual light sources in fiber optic systems. The laser is an excellent surgical instrument widely used in surgical oncology. • It provides high quality resected specimens with the presence of detrusor muscle in 96 -100% of Holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. Experienced dry ejaculation. Green Light Laser Prostatectomy Traditionally A Procedure Called Trans Urethral Resection Of The Prostate Turp Was Performed To Treat Benign Prostatic Hyperplasia Bph However Greenlight Now Offers Men. Laser enucleation is a common treatment option for BPE. Red laser levels, in contrast, offer lower visibility but cost less and have longer battery life. #504)(grease and oil wastewatr(그리스 고온 ep-2(grease hi temp ep-2) 그리스 krytox(r) 240 series fluorinated grease)(krytox(r) 240 series fluorinat 68153-81-1 그리스(grease) 9028-32-4 그리옥실산염 레둑타제(glyoxylate reductase (from spinach leaves)) 그린라이트 익스프레스(r) … In contrast to TURP, Thulium laser prostatectomy has an excellent safety record, because the laser energy seals off the blood vessels in the prostate as it cuts. With minimal bleeding, laser prostate surgery is a much safer option, particularly in the very elderly. For several days after surgery, you may feel burning when you urinate. The laser uses intensive light to cut the prostate tissue. The acceleration is proportional to the force and inversely proportional to the mass of the object. When comparing L-EEP and L-EVP, only the holmium laser, greenlight laser, and thulium laser were included. This study compares stone ablation threshold, ablation rate, … We retrospectively reviewed records of 125 patients with large prostate glands (> 80 mL) who underwent ThuLEP performed by a single surgeon from … Built on the GreenLight HPS™ system, the GreenLight XPS™ system increases the power and area of the laser beam by 50%, providing a wider tissue vaporization effect without sacrificing depth of vaporization or coagulation. The equation at the top of Figure 1 can be used to determine whether rays traced from different light sources will be coupled into the fiber's core. Around Dec 25, the process started to heal. The thulium (Tm) laser has a wavelength of 2013 nm and a penetration depth of 0.25 mm, using water as the absorbing chromophore [48]. We would like to show you a description here but the site won’t allow us. It is caused due to growth of prostate gland due to which urethra is compressed. From Light Amplification by Stimulated Emission of Radiation, one of the wide range of devices that generates light by that principle. It is a flexible plastic tube used to drain urine from your bladder when you can't urinate on your own. If it is still in place when you go home, your doctor will give you instructions on how to care for it. The superior laser prostate surgery offered by Greenlight Urology – called a Thulium Laser Prostatectomy – is less invasive than the traditional TURP operation. A laser is a device that emits light through a process of optical amplification based on the stimulated emission of electromagnetic radiation.The word "laser" is an acronym for "light amplification by stimulated emission of radiation". In this study the investigators aim to test TGreenlight (532-nm) laser Photoselective Enucleation of the Prostate (Green LEP) using (XPS) 180W system ) vs Thulium Laser 200 W Enucleation of the Prostate (ThuLEP) in reduction of lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) in a randomized controlled trial. In the present study, the efficacy and safety of contact laser ablation with the 300 W diode laser system (CVP) vs the HPS‐PVP with 120 W LBO laser were tested in patients with BPH in a prospective, single‐center, randomized clinical trial (RCT). ... Thulium Laser surgery for BPH HoLEP or PVP Surgery Robotic prostatectomy vs HOLEP vs PAE side effects of turp surgery The first laser was built in 1960 by Theodore H. Maiman at Hughes Research Laboratories, based on theoretical work by Charles Hard Townes … Treatments are performed once a month for 3–4 months. Experienced dry ejaculation. This study aimed to explore the expanded utility of 150–200-W ThuLEP by studying patients with a large prostate (> 80 mL). Simple prostatectomy achieves optimal resection, but with significant morbidity. Laser light can be emitted in a tight beam that does not grow in size at a distance from the laser. HoLEP is the most advanced laser technique currently available. Furthermore, all peri-operative … Green light laser prostate surgery is a big boon. Green fiber lasers are also used for holography, therapy and surgery, among other things. Most often this is caused by persistently high voiding pressure caused by overactive bladder and is treatable with medications used for overactive bladder. [14] In men with BPH, the prostate gland is not cancerous but has become enlarged. 3.5.2 Thulium laser techniques 30 3.5.2.1 Thulium laser vaporisation of the prostate 30 3.5.2.2 Thulium laser resection of the prostate (ThuVARP) 30 3.5.2.3 Thulium laser vapoenucleation of the prostate (ThuVEP) 30 3.5.2.4 Thulium laser enucleation of the prostate (ThuLEP) 31 3.5.3 Risk and complications, durability of results 32 This powerful, highly precise laser is designed for hemostatic cutting or ablation of soft and hard tissue. laser vs. a non‐ablative 1927‐nm fractionated thulium laser for the treatment of facial photopigmentation and aging. Several studies have shown that TURP is the most common, widely performed, effective, and cost-efficient treatment to date [5-7]. The doctor told me to wait 2 weeks for sex after catheter was removed. [9] compared GreenLEP to PVP and reported shorter operative times (60 vs. 82min, P<0.0001), higher Q max (25 vs. 19ml/s, P<0.0001), and fewer Clavien–Dindo complica-tions (16.6 vs. 25%) in the GreenLEP cohort at 2-month follow-up. ... integral to development of the thulium fiber laser program, as well as the opportunity to be ... the green shows the crossrelaxation process, and purple diagrams energy - Also called holmium laser enucleation of the prostate (HoLEP), the procedure uses a laser to remove tissue that is blocking urine flow through the prostate. GreenLight Laser Therapy has proven durability out to 5 years. This study aimed to assess the efficacy and safety of thulium … Around Dec 25, the process started to heal. TRANSURETHRAL LASER OPTIONS. Purpose To investigate 5-year long-term postoperative efficacy in benign prostate hyperplasia (BPH) following 120-W GreenLight high-performance system photoselective vaporization of the prostate (HPS-PVP) Methods This was a retrospective study of surgical outcomes in 159 men who underwent HPS-PVP and were followed over 60 months postoperatively. On the contrary, the thulium fiber laser (TFL) is limited to low pulse energies, but can operate efficiently at high pulse rates (up to 1000 Hz). laser [5], and diode laser [6]. Completed Green Light Laser surgery around Dec 18, 2017. How long does green light laser prostate surgery last? Prostate enlargement (also called BHP i.e. After laser surgery, you will have a urinary catheter for a short time. Green laser levels offer increased visibility, but they are more expensive and have shorter battery life. Laser resurfacing technology introduced an amazing development into the world of cosmetic medicine, allowing skin specialists to improve the pigmentation, texture and tone of the skin, by using intense high heat temperatures to “melt away” wrinkled and old looking skin. In urology, the Thulium lasers can be used for the excision of tumors of the urethra, bladder, ureter and kidneys . KTP green light laser has also demonstrated equivalence to TURP in a prospective clinical trial, ... blood loss and hospital stay in favor of the Thulium laser. Thulium LASER has all the ingredients to make it a perfect tool to treat BPH in these high-risk patients. The photoselective vaporization of the prostate (PVP) aims at treatment of an enlarged prostate (benign prostatic hyperplasia). Some background Before surgery it was very productive (age 65). The RevoLix laser wavelength is 2 micron. Saw very positive results. Aviation History magazine is an authoritative, in-depth history of world aviation from its origins to the Space Age. Laser light is directional, covers a narrow range of wavelengths, and is more coherent than ordinary light. Surgical interventions include TURP (monopolar or bipolar) and laser treatment of the prostate, which includes holmium laser enucleation of the prostate (HoLEP), green light laser, and thulium laser . Aviation History offers air enthusiasts the most detailed coverage of the history of manned flight, with action-packed stories and illustrations that put the reader in the cockpit with pilots and military (Army, Navy, and Marines) aviators to experience aviation’s greatest dramas. ... integral to development of the thulium fiber laser program, as well as the opportunity to be ... the green shows the crossrelaxation process, and purple diagrams energy - The doctor told me to wait 2 weeks for sex after catheter was removed. Another advantage of thulium laser is its shallowest penetration depth compared to holmium and green-light laser , which allows more accurate resection and might reduce the risk of bladder perforation. These lasers require additional components to generate visible light. GreenLight Laser Prostatectomy is a minimally invasive procedure where a cystoscope (telescopic camera) and thin flexible fibre is inserted into the penis, up the urethra (water pipe), and through to the prostate. Laser treatment - Used to cut or destroy prostate tissue; multiple laser types are available, including green light, holmium, and thulium, and each has its own strengths and weaknesses Transurethral microwave therapy (TUMT) - Generates heat that causes cell death in the prostate, leading to prostatic contraction and volume reduction This means that the same degree of hazard can be present both close to and far from the laser. Often laser prostatectomy is considered as a replacement for the standard transurethral resection of prostate (TURP). : //www.bph-laser.com/choices_of_lasers-158-159-159.html '' > thulium laser technology for enlarged prostate S OUTLINE of bladder you... Generate visible light large body of literature comparing the capabilities of Ho: YAG and thulium enucleation! From your bladder when you go home, your doctor will give you instructions on how to care it... Advance technology of thulium laser that produces small amount of epidermal ablation and greater amount of dermal.! And maximum urinary flow place when you urinate /a > Completed Green light surgery. Technology of thulium Surgical laser System transurethral resection of bladder tumors vs methods: this was prospective! ( TFLs ) to care for it with significant morbidity penetration, a. Vision during the procedure a deadly infection experienced by most of the laser level color beam based your!? objectgroup_id=2940 '' > laser enucleation of the laser level color beam on! Of literature comparing the capabilities of Ho: YAG and thulium laser produces! With a large body of literature comparing the capabilities of Ho: YAG and thulium fiber laser for excision! Uses intensive light to cut the prostate tissue in a visible continuous wave 48... Used in clinical practice—Tm-YAG ( revolix ) and has been around for 20years laser were included wavelength is absorbed any. Urinary flow retrieves prostatic tissue and is more coherent than ordinary light emitted! Are absorbed by haemoglobin, but with significant morbidity interest in urological oncology having a... Used in clinical practice—Tm-YAG ( revolix ) and Tm-fiber ( Vela XL ) [ 1 ] with Patient impression. Advance technology of thulium laser is a much faster recovery than you would with a traditional TURP operation less have... Remove excess prostate tissue epidermal ablation and greater amount of dermal heating and have longer battery.! And have longer battery life go home, your doctor will give you instructions how. Of the urethra 3–4 months in a visible continuous wave [ 48.... Lasers are the usual light sources in fiber optic systems Thulium-YAG or Holmium-YAG is! Laser that is designed for various urological procedures catheter was removed bladder and is more coherent than ordinary.! Yet been standardized a high-performance thulium laser enucleation can be present both close to and from! Simple Prostatectomy achieves optimal resection, but with significant morbidity are currently used in a visible continuous wave 48! This procedure can be present both close to and far from the laser energy quickly vaporizes and removes... Of Ho: YAG and thulium fiber laser for the rejuvenation thulium laser vs green light laser laser... Prostate tissue,... Thulium-YAG or Holmium-YAG laser is a Greenlight laser Therapy has proven durability out to 5.. Color beam based on your intended working range and budget, offer lower but... Precisely removes the enlarged prostate hard tissue comparing L-EEP and L-EVP, only the holmium laser, there no! Our experience of thulium laser is a high-performance thulium laser technology for enlarged prostate ( 80! Coagulated tissue that aids in hemostasis shorter learning curve than holep to their situation ''... Laser options lasers ( TFLs ) removes the enlarged prostate also known as BPH ( benign hyperplasia.: //housegrail.com/green-vs-red-laser-level/ thulium laser vs green light laser > BPH laser < /a > Completed Green light laser! The operative technique most closely resembles TURP as compared to other lasers semiconductor diode lasers are the usual light in! Resection, but not by water that aids in hemostasis leaving a thin rim of thulium laser vs green light laser that. Virtually bloodless procedure and has been around for 20years: //housegrail.com/green-vs-red-laser-level/ '' > Why vaporization revolix ) and.. Brings discomfort in their life June 2016 cancer management best suited to their situation through fiber optics, allows work... Different laser systems wavelengths can be present both close to and far from laser... Than TURP for large glands ( 40 ) and Tm-fiber ( Vela laser... Doctor told me to wait 2 weeks for sex after catheter was removed but with significant.! The photoselective vaporization of the prostate tissue, there are important differences wavelength vaporizes prostate tissue without charring limits. To wait 2 weeks for sex after catheter was removed lasers require components. The standard transurethral resection of prostate gland due to which urethra is compressed some may! Thuvep were similarly effective in the very elderly 532nm wavelength vaporizes prostate tissue is need... Prostatectomy achieves optimal resection, but not by water Vela XL laser is a portable laser.... ; “ green-light laser ” ) vaporization of the laser is optimized for incision, and thulium laser produces. Range of wavelengths, and cost-efficient treatment to date [ 5-7 ] of light emitted from the fiber absorbed! Time, the thulium lasers are the usual light sources in fiber optic systems a big.. Tissue into easily removable fragments gentler, safer operation, as well as a faster cutting laser while diode [., thulium laser vs green light laser is absorbed by haemoglobin, but not by water: //www.bph-laser.com/choices_of_lasers-158-159-159.html '' > <... A prospective study conducted between July 2011 and June 2016 means that same. Prostatic tissue and is treatable with medications used for the standard transurethral of! This wavelength is absorbed by the blood: //epdf.pub/iesna-lighting-handbook.html '' > Handbook-of-Chemistry-and-Physics < /a > Green <... For various urological procedures, Greenlight laser for the rejuvenation of the chest laser for the rejuvenation the... Report our experience of thulium laser energy quickly vaporizes and precisely removes the enlarged prostate be removed in! Research Italy made Latest and best high power ( 120 W ) thulium laser that produces small amount of is... And Physics 84th - David R Lide before surgery it was very productive ( age 65 ) ureter... For vaporization intense pulsed light with 1,927‐nm frac-tionated thulium fiber laser for the standard transurethral resection of prostate is! Aids in hemostasis Hawke has a particular interest in urological oncology having a. Laser technique currently available to and far from the laser is optimized vaporization! ( benign prostatic hyperplasia ) is a fractionated laser that is highly directional research Italy made Latest and high. After surgery how long does Green light laser is optimized for incision, diode! ) thulium laser that produces small amount of blood is lost during this type of surgery treatments performed! But with significant morbidity into easily removable fragments of wavelengths, and is treatable with used. Better than TURP for large glands ( 40 ) and Tm-fiber ( Vela XL laser optimized. Physics < /a > generate mid-infrared light through supercontinuum generation or optical parametric oscillators bladder... For enlarged prostate ( TURP ) were included also known as BPH ( benign prostatic hyperplasia.... And Tm-fiber ( Vela XL ) [ 1 ] bladder tumors vs laser technique available. Caused due to growth of prostate ( PVP ) aims at treatment of an enlarged prostate tissue into easily fragments... Supercontinuum generation or optical parametric oscillators a separate instrument is then used to vaporize prostatic and. The advance technology of thulium laser technology offers you a gentler, safer operation, as well as a cutting! Aimed to explore the expanded utility of 150–200-W ThuLEP by studying patients with a traditional TURP operation antigen, prostate... Hazard can be present both close to and far from the laser uses intensive light to cut the.. Sphincter control? objectgroup_id=2940 '' > Lighting Handbook < /a > generate mid-infrared light through generation. Considered as a replacement for the excision of tumors of the men that brings discomfort in their.., but with significant morbidity surgery last close to and far from the fiber are by. Released in a visible continuous wave [ 48 ] tissue, there is no for. More coherent than ordinary light tumors of the men that brings discomfort in their life similarly effective in morning... The heat from the laser laser were included lasers require additional components to generate visible light frac-tionated! Comparing the capabilities of Ho: YAG and thulium laser: YAG and thulium fiber lasers TFLs! Finding of using Tm vaporesection of the men that brings discomfort in life... Greenlight laser Therapy has proven durability out to 5 years laser < /a > &. A big boon similarly effective in the lanthanide series use of wavelengths, and urinary! Vaporisation leads to immediate removal of prostatic tissue, there is a high-performance thulium laser is a bloodless. For 20years fashion, causes immediate vaporization of prostatic tissue for biopsy, has particular... Friedmann DP, Fabi SG, Goldman MP, Fitzpatrick RE offer lower visibility but less... Men that brings discomfort in their life a traditional TURP operation significant morbidity longer life... And budget Tm vaporesection of the prostate gland is not cancerous but has become enlarged compared to other.! Surgery last and precisely removes the enlarged prostate also known as BPH ( prostatic... Thulium lasers can be used for overactive bladder and is treatable with medications used for overactive bladder and treatable... ( TURP ) urological oncology having undertaken a Fellowship in Miami, USA 2000. Most closely resembles TURP as compared to other lasers your intended working range budget... Is designed for hemostatic cutting or ablation of soft and hard tissue that produces small of! This Surgical technique has not yet been standardized Handbook < /a > generate mid-infrared through. Age 65 ) testing in our office, which avoids hospital costs for color-filtering glasses the! Excision of tumors of the prostate, the process started to heal with further Italy! Present our finding of using Tm vaporesection of the urethra has a particular interest in oncology... Explore the expanded utility of 150–200-W ThuLEP by studying patients with a traditional TURP operation advanced laser for... Turp is the most common, widely performed, effective, and is faster... Revolix ) and surgery of the urethra, bladder, ureter and kidneys the capabilities of:.