PMID: 7536256May 1, 1995Paper

Laser prostatectomy performed with a right-angle firing neodymium:YAG laser fiber at 60 watts power setting

The Journal of Urology
J N KabalinG Bite

Abstract

A total of 50 patients with symptomatic bladder outlet obstruction due to benign prostatic hyperplasia was entered into a prospective trial of laser prostatectomy performed with the right-angle firing neodymium:YAG laser fiber at 60 watts power setting. Mean estimated resectable prostatic weight was 30 gm. with a mean prostatic urethral length of 3.3 cm. Nine patients (18%) were in urinary retention requiring catheterization before treatment. Mean energy delivery was 30,834 joules (range 14,400 to 127,800) with a mean operative time of 31 minutes. Efficacy of treatment was assessed at 3, 6 and 12 months postoperatively by standardized American Urological Association symptom scores, peak urinary flow rates and post-void residual urine volumes. At preoperative baseline the mean symptom score was 20.8, mean peak urinary flow rate 7.6 cc per second, and mean post-void residual urine volume 353 cc. At 1 year postoperatively mean symptom score was 8.4, mean peak urinary flow rate was 18.7 cc per second and mean post-void residual urine volume was 175 cc. Two patients required retreatment for residual tissue. There were 6 complications including 5 bladder neck contractures requiring incision (10%) and 1 case of postoperative prostatit...Continue Reading

Citations

Jan 1, 2011·Laser Therapy·Haim MnitentagShlomo Walfisch
Jul 20, 2014·Current Urology Reports·Bilal ChughtaiSteven A Kaplan
Dec 1, 1995·The Journal of Urology·J N Kabalin

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