Treatment with neodymium: YAG laser in patients with chronic prostatitis: A preliminary reprot


A group of 30 patients with chronic abacterial prostatitis or prostatodynia, all of whom were unresponsive to conventional treatments, underwent transurethral neodymium: YAG laser therapy. The patients were evaluated with both objective and subjective parameters before and after treatment.

Following treatment, the preliminary results at six months showed positive response (complete plus partial) rates in subjective parameters ranging from 47% to 86%. On the other hand, objective parameters including mean international prostate symptom scores (IPSS), mean quality of life indexes (QoL), mean uroflowmetric measurements and mean leukocyte count in expressed prostatic secretions showed marked improvements which were meaningful statistically. In 4 of 7 patients who underwent needle biopsy of the prostate, histology revealed definite inflammatory infiltration changes. Control biopsies following treatment showed almost complete disappearance of these changes. These preliminary results open up a new treatment modality in the management of this condition which has so far responded poorly to conventional therapy.

This is a preview of subscription content, access via your institution.


  1. 1.

    Anson, K., Watson, G., Shah, T., Barnes, D.: Laser prostatectomy: Our initial experience of a technique in evolution.J. Endourol., 7, 333 (1993).

    PubMed  CAS  Google Scholar 

  2. 2.

    Costello, R.: Laser vaporisation of Peyronie's plaques.Lasers Surg. Med., 13, 246 (1993).

    PubMed  CAS  Google Scholar 

  3. 3.

    Epstein, R. S., Deverka, P. A., Chute, C. G., Panser, L., Osterling, J. E., Lieber, M. M., Schwartz, S., Patrick, D.: Validation of a new quality of life questionnaire for benign prostatic hyperplasia.J. Clin. Epidemiol., 12, 1431 (1992).

    Article  Google Scholar 

  4. 4.

    Gunn, S. A., Gould, T. C.: The relative importance of androgen and estrogen in the selective uptake of Zn65 by dorsolateral prostate of the rat.Endocrinology, 58, 442 (1956).

    Article  Google Scholar 

  5. 5.

    Kaplan, L., Lee, C., Schaeffer, A. J.: Thermal enhancement of Thiotepa cytotoxicity.J. Natl. Cancer Inst., 50, 903 (1983).

    Google Scholar 

  6. 6.

    Mebust, W., Rozio, R., Schroeder, F., Villers, A.: Correlations between pathology, clinical symptoms and the course of the disease. In: Cockett, A. T., Aso, Y., Chatelein, C. (eds): Proceedings of the International Consultation on Benign Prostatic Hyperplasia. WHO, Geneva 1991, p. 51.

    Google Scholar 

  7. 7.

    Orland, S. M., Hanns, P. M., Wein, A. J.: Prostatitis, prostatosis and prostatodynia (review article).Urology, 25, 439 (1983).

    Article  Google Scholar 

  8. 8.

    Shabad, A. L., Red'kovich, V. I., Safarov, R. M.: A method and the clinicolaboratory results of laser therapy for patients with chronic prostatitis.Urol. Nephrol., 6, 26 (1994).

    Google Scholar 

  9. 9.

    Shanberg, A., Chalfin, S., Tansey, L.: Neodymium: YAG laser: New treatment for urethral stricture disease.Urology, 2, 15 (1984).

    Article  Google Scholar 

  10. 10.

    Staehler, G., Chaussy, C., Jocham, D., Schmiedt, E.: The use of neodymium: YAG lasers in urology: Indications, technique and critical assessment.J. Urol., 134, 1155 (1985).

    PubMed  CAS  Google Scholar 

  11. 11.

    Stamey, T. A.: Prostatitis.J. R. Soc. Med., 74, 22 (1981).

    PubMed  CAS  Google Scholar 

  12. 12.

    Stamey, T. A.: Pathogenesis and Treatment of Urinary Tract Infections. Williams and Wilkins, Baltimore 1980.

    Google Scholar 

  13. 13.

    Suzuki, T., Kurokowa, K., Suzuki, K., Matsumoto, K., Yamanaka, H.: Transurethral balloon laser hyperthermia for chronic non-bacterial prostatitis: A clinical trial.Int. J. Urol., 1, 29 (1995).

    Google Scholar 

  14. 14.

    Thin, R. N., Simmons, P. D.: Chronic bacterial and non-bacterial prostatitis.Br. J. Urol., 55, 513 (1983).

    PubMed  CAS  Article  Google Scholar 

Download references

Author information



Rights and permissions

Reprints and Permissions

About this article

Cite this article

Serel, T.A., Ko§ar, A., Ozturk, A. et al. Treatment with neodymium: YAG laser in patients with chronic prostatitis: A preliminary reprot. International Urology and Nephrology 29, 53–58 (1997).

Download citation


  • Benign Prostatic Hyperplasia
  • Prostatitis
  • International Prostate Symptom Score
  • International Urology
  • Acute Urine Retention