Marks L S
Department of Surgery/Urology, UCLA School of Medicine.
Urology. 1993 Jul;42(1):66-71. doi: 10.1016/0090-4295(93)90344-a.
Visual laser ablation of the prostate (VLAP) was evaluated by serial video-endoscopy and six months of clinical correlation in 7 men suffering from advanced prostatism and urinary retention. Images of the prostatic urethra were obtained before and at various intervals from two to nineteen weeks after the procedure. A substantial tissue defect evolved within three months; complete healing required an even longer period. Except in the 1 patient with middle lobe obstruction, spontaneous urination was restored in all patients (including 2 cancer patients additionally treated with androgen deprivation). No operative complications were encountered. Thus, a safe and visually successful prostatectomy was the usual result of VLAP in the present patients. As a minimally invasive method to remove an obstructing prostate, laser treatment warrants further study.
通过连续视频内镜检查以及对7名患有晚期前列腺增生和尿潴留男性患者进行6个月的临床关联研究，对前列腺可视化激光消融术（VLAP）进行了评估。在手术前以及术后2至19周的不同时间间隔获取前列腺尿道图像。三个月内出现了明显的组织缺损；完全愈合需要更长时间。除1例中叶梗阻患者外，所有患者（包括另外接受雄激素剥夺治疗的2例癌症患者）均恢复了自主排尿。未出现手术并发症。因此，在本研究患者中，VLAP通常可实现安全且视觉上成功的前列腺切除术。作为一种去除梗阻性前列腺的微创方法，激光治疗值得进一步研究。
