Chapter 13 – Diode Laser Resection of Prostate (980 nm)

Diode lasers are a class of lasers that generate laser radiation through a semiconductor. Diode lasers vary in wavelength, power, and fiber type and are clinically utilized in two types of prostatectomy procedures: Diode laser vaporization of the prostate (DiVAP) and diode laser enucleation of the prostate (DiLEP). DiVAP and DiLEP have been proven to be highly safe intraoperative techniques, characterized by the hemostasis and coagulative properties of diode lasers. However, DiLEP has a safer profile than DiVAP due to the high reoperation rates reported in some DiVAP research. Studies have proven that both techniques significantly improve voiding parameters and micturition symptoms. More randomized trials with a greater volume of participants and long-term outcome measurements are needed to confidently determine the safety and efficacy of DiVAP and DiLEP.