Use of contact laser crystal tip firing Nd:YAG to relieve urinary outflow obstruction in male neurogenic bladder patients.
OBJECTIVE
Endoscopic urologic procedures for transurethral prostatectomy (TURP), external sphincterotomy (TURS), bladder neck incision, and incising strictures using diathermy have resulted in excessive bleeding and risk of hyponatremia. This presentation is a review of a methodology developed to evaluate the use of contact laser crystal firing Nd:YAG laser. Details of the technique are presented.


RESULTS
A review of 129 patients following laser TURS with 34% of these patients also needing TURP and 29% of patients also requiring TUIP has been done. Following contact laser endoscopic surgery, the catheter was removed in 24 hours. There was minimal to nil haemorrhage perioperatively and secondary haemorrhage was absent.


CONCLUSIONS
The technique employing contact laser crystal provides an easy TURP, TURS, and stricture ablation. Follow up indicates durable results.
Perkash
I
I
Department of Urology, Stanford University, California, USA.
D004867:Equipment Design; D005069:Evaluation Studies as Topic; D006801:Humans; D008297:Male; D009354:Neodymium; D011468:Prostatectomy / Q000295:instrumentation; D014524:Urethral Obstruction / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000295:instrumentation*
D009354:Neodymium