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[Visual laser coagulation for benign prostatic hyperplasia. Preliminary experiences]

T Wold1, S J Karlsen, T Bull-Njaa

  • 1Urologisk avdeling, Kirurgisk klinikk, Aker sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|April 20, 1996
PubMed
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Visual laser coagulation (VLAP) effectively treated benign prostatic hyperplasia, improving urinary flow by 78% with minimal bleeding. Most patients reported satisfaction, though some experienced temporary dysuria.

Area of Science:

  • Urology
  • Minimally Invasive Surgery

Context:

  • Benign prostatic hyperplasia (BPH) causes symptomatic bladder outlet obstruction.
  • Visual laser coagulation (VLAP) is a treatment option for BPH.

Purpose:

  • To evaluate the efficacy and safety of visual laser coagulation (VLAP) using a neodymium: YAG laser for BPH.

Summary:

  • 28 BPH patients underwent outpatient VLAP with a side-firing neodymium: YAG laser at 40 Watts.
  • Mean operative time was 34 minutes; 650 J/g prostatic tissue was administered.
  • Post-procedure, peak urinary flow increased by 78% (9.0 to 15.4 ml/sec), with high patient satisfaction.

Impact:

  • VLAP offers a gentle, effective outpatient treatment for BPH with significant improvement in urinary flow.

Related Experiment Videos

  • Minor complications included temporary dysuria; two patients required transurethral resection for retention.