Abstract:
PURPOSE:The goal of this study is to identify the most efficient sweeping angle (SA) during photoselective vaporization of the prostate (PVP). MATERIALS AND METHODS:Experiments were conducted with GreenLight XPS™ laser at 120 and 180 W. Ten blocks of porcine kidney were used for each SA (0, 15, 30, 45, 60, 90, and 120 degrees). Vaporization efficiency was assessed by the amount of tissue removed per time. The coagulation zone (CZ) thickness was also measured. RESULTS:Maximal vaporization rate (VR) was achieved at SA 15 and 30 degrees. Irrespective of power, VR increased and CZ decreased linearly with decreasing SA from 120 to 30 degrees. The CZ was the thinnest at SA 30 degrees. CONCLUSIONS:Optimal vaporization occurred at a SA of 15 degrees and 30 degrees with the lowest CZ at 30 degrees. Contrary to a previous recommendation for a wider SA (60 degrees or greater), a narrower SA (30 degrees) achieved the maximal tissue vaporization efficiency.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Ko WJ,Choi BB,Kang HW,Rajabhandharaks D,Rutman M,Osterberg ECdoi
10.1089/end.2011.0356subject
Has Abstractpub_date
2012-04-01 00:00:00pages
313-7issue
4eissn
0892-7790issn
1557-900Xjournal_volume
26pub_type
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