✦ LIBER ✦

Neodymium:YAG laser treatment of bladder neck contracture following prostatectomy

✍ Scribed by Dr. Nahum Silber; Giro Servadio

Publisher: John Wiley and Sons
Year: 1992
Tongue: English
Weight: 441 KB
Volume: 12
Category: Article
ISSN: 0196-8092
DOI: 10.1002/lsm.1900120404

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✦ Synopsis

Abstract

A total of 21 patients with postprostatectomy bladder neck contracture underwent treatment with Nd:YAG laser irradiation. A new 800‐μm 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. © 1992 Wiley‐Liss, Inc.

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