[Neodymium YAG laser in treating prostatic adenoma].
BACKGROUND
Conventional surgery and transurethral ablation are the treatments of choice for benign prostatic hyperplasia.


OBJECTIVE
To report our experience with Neodynium: YAG laser ablation of prostatic adenomas.


METHODS
Revision of 182 patients subjected to Laser ablation of benign prostatic adenoma of whom 28 had a complete urinary retention and 50 were considered of high surgical risk.


RESULTS
One hundred eighty patients had spontaneous voiding after surgery, there were no intraoperatory complications and were discharged 6 to 24 hours after the procedure. Urinary flow increased from 8 ml/sec in the preoperative period to 20 and 21 ml/sec, two and six months after surgery. Symptom score decreased from 12 to 1.2 points. Seven patients had late hematuria and two required vesical lavage and cystoscopic clot drainage. Ten patients had a positive urine culture. 12 had lack of ejaculation and 75%, had some degree of dysuria.


CONCLUSIONS
Neodynium YAG laser ablation of benign prostatic adenoma seems to be efficient and safe.
Van Cauwelaert
R
R
Unidad de Urología Clínica Las Nieves y Clínica Santa Maria, Santiago de Chile.
Castillo
O
O
Campero
J M
JM
Azócar
G
G
Aguirre
C
C
Wöhler
C
C
Parra
R O
RO
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D009354:Neodymium / Q000627:therapeutic use; D011183:Postoperative Complications; D011470:Prostatic Hyperplasia / Q000601:surgery*; D016896:Treatment Outcome; D016055:Urinary Retention / Q000601:surgery*; D014555:Urination Disorders
D009354:Neodymium