[Development and usage of a new laser resectoscope].
BACKGROUND
Endoscopes for the application of laser energy have not been modified substantially for 3 decades. They have two essential disadvantages: the laser probe has no sufficient fixation and irrigation is ineffective in clearing endoscopic vision from hemorrhage. These defects were corrected in cooperation with the R. Wolf Company when developing a new laser resectoscope. In addition the one-handed usage was improved.


METHODS
The new instrument was used in 71 of the 329 patients undergoing surgery of the prostate with KTP laser by 8 surgeons in our institution. No instrument has been damaged by laser since. Seven of eight surgeons have acknowledged the advantages and approved the new laser endoscope.


CONCLUSIONS
The new laser resectoscope can be recommended to improve the safety of endoscopic laser surgery in general.
Reuter
M A
MA
Reuterklinik im KOK, Hackstrasse 61, 70190 Stuttgart, Deutschland. Matthias.Reuter@t-online.de
Epple
W
W
Ungemach
G
G
D004598:Electrosurgery / Q000295:instrumentation; D019160:Endosonography / Q000295:instrumentation; D004867:Equipment Design; D004869:Equipment Safety; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation*; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011470:Prostatic Hyperplasia / Q000000981:diagnostic imaging / Q000601:surgery*; D020728:Transurethral Resection of Prostate / Q000295:instrumentation*