Daughtry J D, Rodan B A
Department of Urology, Palm Beach-Martin County Medical Center, Jupiter, Florida.
J Clin Laser Med Surg. 1993 Feb;11(1):21-8. doi: 10.1089/clm.1993.11.21.
Transurethral laser prostatectomy was performed on 66 patients for the management of bladder outlet obstruction secondary to prostatic hyperplasia. All of the patients were treated on an outpatient basis primarily using IV sedation or spinal anesthesia. Selection consisted of patients with obstructive voiding symptoms who would be considered candidates for transurethral resection of the prostate (TURP). Thirty procedures were performed with the contact tip laser probe, with successful results noted in 24 cases (80%). Thirty-one of the 36 patients who underwent laser prostatectomy using the lateral firing free beam probe experienced a significant improvement in their obstructive voiding symptoms, for a success rate of 86%. Transurethral laser prostatectomy using the contact tip laser system or the lateral firing free beam mode appears to be an acceptable alternative to TURP in individuals with obstructive voiding symptoms.
对66例因前列腺增生导致膀胱出口梗阻的患者实施了经尿道激光前列腺切除术。所有患者主要在门诊接受治疗，采用静脉镇静或脊髓麻醉。入选患者为有梗阻性排尿症状且被认为适合经尿道前列腺切除术（TURP）的患者。使用接触式激光探头进行了30例手术，24例（80%）取得成功。在36例使用侧向发射自由光束探头进行激光前列腺切除术的患者中，31例梗阻性排尿症状有显著改善，成功率为86%。对于有梗阻性排尿症状的个体，使用接触式激光系统或侧向发射自由光束模式的经尿道激光前列腺切除术似乎是TURP的一种可接受的替代方法。
