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Role of the Ho:Yag laser in the treatment of superficial bladder cancer in the elderly
Author(s): Giovanni Battista Muraro; Riccardo Grifoni
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Paper Abstract

Introduction. A considerable confusion exists in literature regarding the comparison between the employ of the laser and TUR for the treatment of Superficial Bladder Cancer (SBC) in terms of tumour recurrences (number, progression of stage and grade, place and time of them) and the economic costs. For this reason we have analysed the two procedures by a retrospective study to evaluate if the laser treatment had same advantages on the TUR which is still now considered the gold standard treatment. Materials and Methods. We examined two groups of 50 elderly patients with DBC, high incidence of comorbilities and anaesthesiological risk, who were treated by TUR or Ho. Yag laser. We considered for teh resected tumours: stage, grade, size, multiplicity, history. Of the recurrences were analysed: number, place, time of appearance, grade and stage. Besides the time of surgical procedure, the complication rate, the catheterization time and the hospital stay were evaluated. Results. There was not a clear difference between laser and TUR about the recurrences for: number (30% and 36%), progressoin of stage and grade, place and time of appearance. An important results it was that at parity of surgical time in the laser group we had: 50% less of complications, 75% of the patients removed the catheter within 24hs with a postoperative stay of 24-48 hs instead of 4% and 40% in the TUR group. Conclusions. We conclude that the use of the Ho: YAG laser is actually the most advantageous method to treat the elderly with comorbilities and affect by little relapsing and low grade SBC for the low complication rate, reduction of the catheritization time, the hospital stay and the economic costs. These results point out that the Ho:Yag laser is an interesting technology to treat the elderly with comorbilities and this characteristic is still more important if we consider that for the ageing of the population we are moving towards an increase of the elderly urological pathology.

Paper Details

Date Published: 15 October 2002
PDF: 7 pages
Proc. SPIE 4903, Laser Florence 2001: A Window on the Laser Medicine World, (15 October 2002); doi: 10.1117/12.486635
Show Author Affiliations
Giovanni Battista Muraro, Italian National Research Ctr. on Aging (Italy)
Riccardo Grifoni, Italian National Research Ctr. on Aging (Italy)

Published in SPIE Proceedings Vol. 4903:
Laser Florence 2001: A Window on the Laser Medicine World
Leonardo Longo; Alfons G. Hofstetter; Mihail-Lucian Pascu; Wilhelm R. A. Waidelich, Editor(s)

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