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Holmium:YAG laser for treatment of strictures of vesicourethral anastomosis after radical prostatectomy.
- Source :
-
Journal of endourology [J Endourol] 2005 May; Vol. 19 (4), pp. 497-501. - Publication Year :
- 2005
-
Abstract
- Background and Purpose: Strictures of the vesicourethral anastomosis (VUA) following radical prostatectomy tend to recur. We used the holmium:YAG laser for treatment of recurrent stricture of the VUA. We evaluated the technique and its efficacy.<br />Patients and Methods: In 10 patients, the Ho:YAG laser was used with a 365-mum fiber at a setting of 2 J and frequency 10 to 20 Hz, creating a deep incision of the scar tissue at the 6 o'clock position. This was followed by a vaporizing resection of the remaining scar tissue between 3 and 9 o'clock. We aimed to vaporize up to well-vascularized surrounding tissue. Retrospectively, the charts were reviewed for hospital stay, voiding complaints, recurrence of stenosis, complications, and flow rates. The mean follow-up was 18 months.<br />Results: There were no operative complications. After removal of the catheter, all patients could void without difficulty. No re-treatment was needed for recurrent stenosis. Any existing irritative voiding complaints or incontinence did not change after treatment. In all patients, the flow pattern improved: the mean maximum flow rate increased, and the mean postvoiding residual volume decreased.<br />Conclusion: The Ho:YAG laser seems to be a safe and effective treatment for first or recurrent strictures of the VUA after radical prostatectomy.
- Subjects :
- Aged
Anastomosis, Surgical adverse effects
Follow-Up Studies
Humans
Male
Middle Aged
Prostatic Neoplasms surgery
Recurrence
Retrospective Studies
Treatment Outcome
Urethral Stricture etiology
Urinary Incontinence etiology
Urinary Incontinence surgery
Urodynamics
Laser Therapy
Prostatectomy adverse effects
Urethra surgery
Urethral Stricture surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0892-7790
- Volume :
- 19
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of endourology
- Publication Type :
- Academic Journal
- Accession number :
- 15910265
- Full Text :
- https://doi.org/10.1089/end.2005.19.497