Neodymium:YAG laser treatment of bladder neck contracture following prostatectomy.
A total of 21 patients with postprostatectomy bladder neck contracture underwent treatment with Nd:YAG laser irradiation. A new 800-microns hemispherical optical quarz fiber was used in contact technique to produce linear incisions in the scarred tissue. Within 11.2 months, median of follow-up, there was improvement in the obstructive voiding symptoms in all the patients. Two patients who had still mild contracture in the first follow-up cystoscopy were managed successfully with a second treatment. Endoscopic application of laser energy in the contact mode enables the immediate vaporization and disintegration of the fibrous area and secondary reepithelization of the bladder neck without scarring.
Silber
N
N
Institute of Urology, Beilinson Medical Center, Petah Tiqva, Israel.
Servadio
C
C
D000368:Aged; D000538:Aluminum Silicates; D000556:Ambulatory Surgical Procedures; D003286:Contracture / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D003558:Cystoscopy; D006801:Humans; D008028:Light Coagulation / Q000379:methods; D008297:Male; D008875:Middle Aged; D009354:Neodymium; D011468:Prostatectomy / Q000009:adverse effects*; D014521:Urethra / Q000473:pathology; D001743:Urinary Bladder / Q000473:pathology; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D014546:Urinary Catheterization; D016055:Urinary Retention / Q000209:etiology / Q000601:surgery; D015019:Yttrium
D000538:Aluminum Silicates; D009354:Neodymium; D015019:Yttrium