[Neodymium YAG laser in treating prostatic adenoma].

BACKGROUND

Conventional surgery and transurethral ablation are the treatments of choice for benign prostatic hyperplasia.

AIM

To report our experience with Neodynium: YAG laser ablation of prostatic adenomas.

PATIENTS AND METHODS

Revision of 182 patients subjected to Laser ablation of benign prostatic adenoma of whom 28 had a complete urinary retention and 50 were considered of high surgical risk.

RESULTS

One hundred eighty patients had spontaneous voiding after surgery, there were no intraoperatory complications and were discharged 6 to 24 hours after the procedure. Urinary flow increased from 8 ml/sec in the preoperative period to 20 and 21 ml/sec, two and six months after surgery. Symptom score decreased from 12 to 1.2 points. Seven patients had late hematuria and two required vesical lavage and cystoscopic clot drainage. Ten patients had a positive urine culture. 12 had lack of ejaculation and 75%, had some degree of dysuria.

CONCLUSIONS

Neodynium YAG laser ablation of benign prostatic adenoma seems to be efficient and safe.