Suzuki T, Kurokawa K, Suzuki K, Yamanaka H
Department of Urology, Gunma University School of Medicine, Japan.
Lasers Surg Med. 1995;17(4):358-63. doi: 10.1002/lsm.1900170404.
To demonstrate surgical complications in transurethral balloon laser prostatectomy by medium-term, follow-up observation.
STUDY DESIGN/MATERIALS AND METHODS: Three dogs were treated with transurethral laser irradiation using 15 watts for 20 minutes at 60 degrees C at a 5 mm depth of the prostate, one dog was for 5 minutes with same parameters, and one dog was with only laser balloon probe as a control. All animals were followed for 24 weeks.
A large cavity in the prostatic urethra was formed in laser-treated animals 4 weeks later, whereas the cavity in the balloon-treated animals was not shown. Cavity volume did not significantly change for 6 months, and there was no bladder neck stricture or urethral stenosis observed in any case. An increase in collagen fibers in the periurethral tissue was barely observed by Mallory staining.
The risk of bladder neck stricture and urethral stenosis was estimated to be low for transurethral balloon laser prostatectomy.
通过中期随访观察,阐述经尿道球囊激光前列腺切除术的手术并发症。
研究设计/材料与方法:三只犬在前列腺5毫米深度处以60摄氏度、15瓦照射20分钟进行经尿道激光照射,一只犬以相同参数照射5分钟,一只犬仅使用激光球囊探头作为对照。所有动物均随访24周。
激光治疗的动物在4周后前列腺尿道形成一个大腔,而球囊治疗的动物未出现该腔。6个月内腔体积无明显变化,且在任何情况下均未观察到膀胱颈狭窄或尿道狭窄。通过马洛里染色几乎未观察到尿道周围组织中胶原纤维增加。
经尿道球囊激光前列腺切除术导致膀胱颈狭窄和尿道狭窄的风险估计较低。