Abstract:
OBJECTIVES:To assess the clinical efficacy of neodymium:yttrium-aluminum-garnet (YAG) laser coagulation prostatectomy using a broad-angle, divergent-beam, side-firing fiber. METHODS:Eighty adult men with voiding symptoms caused by benign prostatic hyperplasia were enrolled in a prospective multicenter study of free-beam neodymium:YAG laser prostatectomy performed with the ProLase II side-firing delivery fiber. Voiding outcomes were assessed at 3, 6, and 12 months postoperatively. RESULTS:At 1-year follow-up, peak urinary flow rates were increased by 105%, postvoid residual urine volumes had decreased by 38%, and the AUA symptom index had decreased by 60%. Serious treatment-related complications occurred in 3 of 80 patients (3.8%). The reoperation rate through 1-year follow-up was 2.7%. CONCLUSIONS:Neodymium:YAG laser prostatectomy performed with the ProLase II delivery fiber has proven safe and efficacious with durable results through 1 year in the relief of symptomatic bladder outlet obstruction due to benign prostatic hyperplasia.
journal_name
Urologyjournal_title
Urologyauthors
Kabalin JN,Gill HS,Leach GE,Bowers GW,Nill T,Konowalchuk TWdoi
10.1016/S0090-4295(97)00117-9subject
Has Abstractpub_date
1997-07-01 00:00:00pages
63-5issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(97)00117-9journal_volume
50pub_type
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