A single surgeon's experience with contact laser vaporization of the prostate

Edward J. Mueller M.D.

doi:10.1117/12.209065

12 May 1995 A single surgeon's experience with contact laser vaporization of the prostate

Edward J. Mueller M.D.

Proceedings Volume 2395, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems V; (1995) https://doi.org/10.1117/12.209065
Event: Photonics West '95, 1995, San Jose, CA, United States

Abstract

Herein, I report on my first 50 contact laser prostatectomies performed with the SLT Nd:YAG laser. The obstructed prostatic urethra is opened via contact laser vaporization of the obstructing adenoma. The average pre-op AUA symptom score was 22.9 (range 14 - 30). The average 3 month post-op AUA symptom score was 2.1 (range 0 -8). Eighteen of the patients had the foley catheter removed approximately 4 - 6 hours post-op and were discharged the same day. Thirty patients had the foley catheter removed the morning following surgery and were discharged. And two patients had the foley catheter removed the morning following surgery, but remained in the hospital for medical reasons unrelated to the TURP. Thus, 48 (96%) of the patients were discharged within 24 hours of admission. No patient had to be readmitted to the hospital for any reason. All patients were allowed to return to full activity within 24 hours of discharge. The average hospital cost for the 48 patients discharged within 24 hours was $DOL4,694. This compares to the average hospital cost of an electrocautery TURP of $DOL6-8000. In summary, contact laser TURP using the SLT Nd:YAG laser relived the symptoms of an obstructing prostate comparable to electrocautery TURP. However, these results were achieved with a much shorter hospitalization, a quicker return to full activity and at a lower cost.

Citation Download Citation

Edward J. Mueller M.D. "A single surgeon's experience with contact laser vaporization of the prostate", Proc. SPIE 2395, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems V, (12 May 1995); https://doi.org/10.1117/12.209065

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KEYWORDS

Surgery

Laser therapeutics

Prostate

Bladder

Fiber lasers

Gold

Nd:YAG lasers

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