Transurethral ultrasound-guided laser prostatectomy: initial Luebeck experince

Stephen Thomas; Elisabeth Spitzenpfeil; Ansgar Knipper; Dieter Jocham

doi:10.1117/12.169127

15 February 1994 Transurethral ultrasound-guided laser prostatectomy: initial Luebeck experince

Stephen Thomas, Elisabeth Spitzenpfeil, Ansgar Knipper, Dieter Jocham

Proceedings Volume 2086, Medical Applications of Lasers; (1994) https://doi.org/10.1117/12.169127
Event: Europto Biomedical Optics '93, 1993, Budapest, Hungary

Abstract

Transurethral ultrasound guided laser prostatectomy is one of the most promising alternative invasive treatment modalities for benign prostatic hyperplasia. The principle feature is an on- line 3-D controlling of Nd:YAG laser denaturation of the periurethral tissue. Necrotic tissue is not removed, but sloughs away with the urinary stream within weeks. The bleeding hazard during and after the operation is minimal. By leaving the bladder neck untouched, sexual function is not endangered. Thirty-one patients with symptomatic BPH were treated with the TULIP system and followed up for at least 12 weeks. Suprapubic bladder drainage had to be maintained for a mean time of 37 days. Conventional TURP was performed in four patients due to chronic infection, recurrent bleeding, and poor results. Our initial experience with the TULIP system shows it to be very efficient and safe. A longer follow up of a larger patient population is necessary to compare the therapeutic efficiency to conventional transurethral resection.

Citation Download Citation

Stephen Thomas, Elisabeth Spitzenpfeil, Ansgar Knipper, and Dieter Jocham "Transurethral ultrasound-guided laser prostatectomy: initial Luebeck experince", Proc. SPIE 2086, Medical Applications of Lasers, (15 February 1994); https://doi.org/10.1117/12.169127

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