IPG120

Potassium-titanyl-phosphate (KTP) laser vaporisation of the prostate for benign prostatic obstruction (IPG120)

  • Interventional procedures IPG120
  • Withdrawn
    • Potassium-titanyl-phosphate (KTP) laser vaporisation of the prostate for benign prostatic obstruction

      The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Potassium-titanyl-phosphate (KTP) laser vaporisation of the prostate for benign prostatic obstruction in May 2005.

      This guidance has been withdrawn as the use of this procedure is now covered in the clinical guideline on the management of lower urinary tract symptoms in men, published in May 2010, www.nice.org.uk/cg97. NICE has no plans to carry out further assessment of this procedure under the Interventional Procedures Programme.

      • Description

        Benign prostatic hyperplasia is a non-malignant disease of the prostate which may lead to gland englargement that can cause prostatic obstruction.

        This obstruction can be managed medically or surgically. The gold standard surgical treatment is transurethral resection of the prostate (TURP). However, the relatively high morbidity for this procedure has led to the development of a range of minimally invasive techniques.

        KTP laser (60- 80 W) vaporisation (which may also be referred to as photoselective vaporisation of the prostate) invovles the insertion of a small flexible fibre-optic tube into the urethra. Light pulses are then sent through this fibre 'vaporising' and removing the prostatic obstruction. A urethral catheter may then be left in place for 18-28 hours after the procedure.

        The procedure can be conducted in an outpatient setting, with the average procedure taking approximately 30 minutes to perform.

      • Other information

        • None found

      Details

      Arrangement:
      Other (see guidance)
      Topic area:
      Surgical procedures
      Urogenital
      Specialty:
      Urological surgery
      Specialist advice sought from:
      Date notified to NICE:
      21 May 2003
      Provisional consultation date:
      January 2005
      Guidance issue date:
      25 May 2005

      Contact details:

      Contact NICE about this project
      Technical lead
      (for procedure specific enquiries or comments)
      Sally Wortley
      ip@nice.org.uk
      Contact Address:

      Interventional Procedures Programme
      National Institute for Health and Care Excellence
      10 Spring Gardens
      London
      SW1A 2BU

      This page was last updated: 19 June 2012

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Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.