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Transurethral laser ablation of the prostate — long-term results

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Summary

Continuing experience with the use of Nd: YAG laser-fibre prostatectomy over the past 4 years has produced encouraging results. Of the 198 patients we treated with the 60-W/60-s technique, 74 were available for evaluation after undergoing laser ablation of the prostate between October 1990 and July 1994. In all, 29/74 and 9/74 patients were available for 24 and 36 months of follow-up, respectively. The American Urological Association (AUA) symptom scores, peak uroflow (Qmax) rates and post-void residual urinary volumes show marked improvement. Following laser ablation of the prostate (LAP), complications have included 16 patients with post-procedural recurrent obstructive symptoms requiring revision. Three patients developed urinary tract infection, two developed bladder-neck stenosis, four fully anticoagulated patients with clot retention required blood transfusion and three patients had epididymo-orchitis. The results show a sustained reduction in AUA symptom scores and maintained improvement in peak flow rates and residual volumes, with stabilization of the above-mentioned parameters occurring within 12–36 months. The results demonstrate the continued durability of the outcome of LAP.

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Authors and Affiliations

  1. Department of Urology, St. Vincent's Hospital, 41 Victoria Parade, 3065, Fitzroy, Victoria, Australia

    A. J. Costello, D. G. Lusaya & H. R. Crowe

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  1. A. J. Costello
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  2. D. G. Lusaya
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  3. H. R. Crowe
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Costello, A.J., Lusaya, D.G. & Crowe, H.R. Transurethral laser ablation of the prostate — long-term results. World J Urol 13, 119–122 (1995). https://doi.org/10.1007/BF00183627

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  • DOI: https://doi.org/10.1007/BF00183627

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