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Proceedings Paper

Laser- and electrosurgery as a treatment modality of BPH: urodynamic evaluation of seven different techniques in 280 patients
Author(s): Christiaan F. P. van Swol; Ger E. P. M. van Venrooij; Mardy D. Eckhardt; Matthijs C. M. Grimbergen; Rudolf M. Verdaasdonck; Tom A. Boon
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Paper Abstract

Laser treatment of the prostate as an alternative for transurethral resection of the prostate (TURP) has evolved from a complicated troublesome procedure to a single office procedure. In this study, we compared the efficacy of different electrosurgical and laser techniques. The data of seven prospective studies in 280 patients were evaluated. The patients were treated for bladder outlet obstruction due to benign prostatic hyperplasia during the period from 1992 until 1998. Five procedures were offered using Nd:YAG laser light, including ultrasound-guided free beam, a free beam technique applying either a predetermined energy dose or a visually-guided energy does, contact laser prostatectomy and a hybrid method where free beam coagulation was followed by contact laser. Two procedures were offered using electrosurgery comprising transurethral resection and transurethral electrovaporization. The clinical outcome was assessed pre-operatively and 6 months post-operatively by free flowmetry, post-void residual, and Shaeffer obstruction grade. Results after 6 months are shown in the table below.

Paper Details

Date Published: 22 June 1999
PDF: 8 pages
Proc. SPIE 3590, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems IX, (22 June 1999); doi: 10.1117/12.350999
Show Author Affiliations
Christiaan F. P. van Swol, Univ. Hospital Utrecht (Netherlands)
Ger E. P. M. van Venrooij, Univ. Hospital Utrecht (Netherlands)
Mardy D. Eckhardt, Univ. Hospital Utrecht (Netherlands)
Matthijs C. M. Grimbergen, Univ. Hospital Utrecht (Netherlands)
Rudolf M. Verdaasdonck, Univ. Hospital Utrecht (Netherlands)
Tom A. Boon, Univ. Hospital Utrecht (Netherlands)


Published in SPIE Proceedings Vol. 3590:
Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems IX
Kenton W. Gregory; R. Rox Anderson; David S. Robinson; Reza S. Malek; Lou Reinisch; Darryl J. Bornhop; Kenneth Eugene Bartels; Hans-Dieter Reidenbach; Lloyd P. Tate; C. Gaelyn Garrett; Eugene A. Trowers; Aaron P. Perlmutter; Kenneth Eugene Bartels; Lawrence S. Bass; Darryl J. Bornhop; C. Gaelyn Garrett; Kenton W. Gregory; Nikiforos Kollias; Harvey Lui; Reza S. Malek; Aaron P. Perlmutter; Hans-Dieter Reidenbach; Lou Reinisch; David S. Robinson; Lloyd P. Tate; Eugene A. Trowers, Editor(s)

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