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Laser Prostatectomy

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Abstract

Lasers have several useful properties for the treatment of patients with prostatic obstruction. Laser energy can be delivered through small endoscopes and laser energy can destroy prostate tissue while producing hemostasis. Because perioperative bleeding is the major cause of morbidity associated with prostatectomy, a technique that minimizes or eliminates bleeding could reduce morbidity, hospitalization, and costs and, therefore, improve outcome of prostatectomy. For a laser to be truly useful in treating prostatic obstruction, it also must be capable of removing substantial amounts of tissue to relieve anatomic obstruction.

This work is supported by IntraSonix, Inc., Burlington, Massachusetts, in which the Lahey Clinic and the author have a minority financial interest.

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References

  • Assimos DG, McCullough DL, Woodruff RD, Harrison LH, Hart LJ, Li W-J (1991) Canine transurethral laser-induced prostatectomy. J Endourol 5:145–149

    Article  Google Scholar 

  • Beisland HO, Sander S (1986) First clinical experiences on neodymium-YAG laser irradiation of localized prostatic cancer. Scand J Urol Nephrol 20:113–117

    Article  PubMed  CAS  Google Scholar 

  • Bruskewitz RC, Larsen EH, Madsen PO, Dorflinger T (1986) 3-Year followup of urinary symptoms after transurethral resection of the prostate. J Urol 136:613–615

    PubMed  CAS  Google Scholar 

  • Chilton CP, Morgan RJ, England HR, Paris AMI, Blandy JP (1978) A critical evaluation of the results of transurethral resection of the prostate. Br J Urol 50:542–546

    Article  PubMed  CAS  Google Scholar 

  • Cohen MS, Warner RS (1988) Treatment of bladder neck obstruction utilizing the neodymium:YAG laser. Abstract. Lasers Surg Med 8:170

    Google Scholar 

  • Costello AJ, Johnson DE (1991) Nd:YAG laser ablation of the prostate as a treatment for benign prostatic hypertrophy. Abstract. J Endourol 5 [Suppl 1]:S128

    Google Scholar 

  • Edwards LE, Bucknall TE, Pittam MR, Richardson DR, Stanek J (1985) Transurethral resection of the prostate and bladder neck incision: a review of 700 cases. Br J Urol 57:168–171

    Article  PubMed  CAS  Google Scholar 

  • Fisher JC (1987) Basic laser physics and interaction of laser light with soft tissue. In: Shapshay SM (ed) Endoscopic laser surgery handbook. Dekker, New York, pp 1–130

    Google Scholar 

  • Frank F (1988) Noncontact delivery systems and accessories for the application of the Nd:YAG laser in endoscopy and surgery. In: Joffe SN, Oguro Y (eds) Advances in Nd:YAG laser surgery. Springer, Berlin Heidelberg New York, pp 10–18

    Chapter  Google Scholar 

  • Hofstetter A (1986) Lasers in urology. Lasers Surg Med 6:412–414

    Article  PubMed  CAS  Google Scholar 

  • Holtgrewe HL, Mebust WK, Dowd JB, Cockett ATK, Peters PC, Proctor C (1989) Transurethral prostatectomy: Practice aspects of the dominant operation in American urology. J Urol 141:248–253

    PubMed  CAS  Google Scholar 

  • Johnson DE, Levinson AK, Greskovich FJ, Cromeens DM, Ro JY, Costello AJ, Wishnow KI (1991a) Transurethral laser prostatectomy using a right-angle laser delivery system. In: Watson GM, Steiner RW, Pietrasitta JJ (eds) Lasers in urology, laparoscopy, and general surgery. Proc Spie 1421:36–41

    Google Scholar 

  • Johnson DE, Costello AJ, Wishnow KI (1991b) Transurethral laser prostatectomy using a right angle laser delivery system (abstract). Lasers Surg Med 11 [Suppl 3]:76

    Google Scholar 

  • Lepor H, Rigaud G (1990) The efficacy of transurethral resection of the prostate in men with moderate symptoms of prostatism. J Urol 143:533–537

    PubMed  CAS  Google Scholar 

  • Mackenzie AR, Levine N, Scheinman HZ (1979) Operative blood loss in transurethral prostatectomy. J Urol 122:47–48

    PubMed  CAS  Google Scholar 

  • McNicholas T (1988) Endoscopic application of lasers in urology. Br J Hosp Med 40:197–206

    PubMed  CAS  Google Scholar 

  • Mebust WK, Holtgrewe HL, Cockett ATK, Peters PC, and Writing Committee (1989) Transurethral prostatectomy: immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3,885 patients. J Urol 141:243–247

    Google Scholar 

  • Newman C, Jacques SL (1991) Laser penetration into prostate for various wavelengths (abstract). Lasers Surg Med 11 [Suppl 3]:75–76

    Google Scholar 

  • Nielsen KT, Christensen MM, Madsen PO, Bruskewitz RC (1989) Symptom analysis and uroflowmetry 7 years after transurethral resection of the prostate. J Urol 142:1251–1253

    PubMed  CAS  Google Scholar 

  • Roehrborn CG, McConnell JD, Eddy DM (1991) Outcome analysis after treatment for benign prostatic hyperplasia (BPH) by various modalities: a confidence profile analysis (abstract). J Urol 145:364A

    Google Scholar 

  • Roos NP, Wennberg JE, Malenka DJ, Fisher ES, McPherson K, Anderson TF, Cohen MM, Ramsey E (1989) Mortality and reoperation after open and transurethral resection of the prostate for benign prostatic hyperplasia. N Engl J Med 320:1120–1124

    Article  PubMed  CAS  Google Scholar 

  • Roth RA, Aretz HT (1991) Transurethral ultrasound-guided laser-induced prostatectomy (TULIP procedure): a canine prostate feasibility study. J Urol 146:1128–1135

    PubMed  CAS  Google Scholar 

  • Roth RA, Aretz HT, Lage A (1990) Poster presented at the American Urological Association annual meeting, New Orleans, Louisiana, 13–16 May 1990

    Google Scholar 

  • Shanberg AM, Tansey LA, Baghdassarian R (1985) The use of the neodymium YAG laser in prostatotómy (abstract). J Urol 133:196A

    Google Scholar 

  • Silber N, Servadio C (1991) Postprostatectomy bladder neck obstruction cleared by Nd:YAG. Urol Times 19:12

    Google Scholar 

  • Siroky MB, Olsson CA, Krane RJ (1979) The flow rate nomogram: I. Development. J Urol 122:665–668

    PubMed  CAS  Google Scholar 

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© 1993 Springer-Verlag Berlin Heidelberg

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Roth, R.A. (1993). Laser Prostatectomy. In: Romas, N.A., Vaughan, E.D. (eds) Alternate Methods in the Treatment of Benign Prostatic Hyperplasia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45723-4_10

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  • DOI: https://doi.org/10.1007/978-3-642-45723-4_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-45725-8

  • Online ISBN: 978-3-642-45723-4

  • eBook Packages: Springer Book Archive

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