New application system for the holmium laser resection of the prostate

Rolf H. Eichenauer; Christian Doehn; Gerit Droege; Ralf Brinkmann; Manfred Salamon; Dieter Jocham

doi:10.1117/12.350959

22 June 1999 New application system for the holmium laser resection of the prostate

Rolf H. Eichenauer, Christian Doehn, Gerit Droege, Ralf Brinkmann, Manfred Salamon, Dieter Jocham

Proceedings Volume 3590, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems IX; (1999) https://doi.org/10.1117/12.350959
Event: BiOS '99 International Biomedical Optics Symposium, 1999, San Jose, CA, United States

Abstract

The clinical outcome of the holmium laser resection of the prostate (HoLRP) shows similar results when compared to the transurethral resection of the prostate (TURP). Our efforts had ben to solve certain problems in the clinical application, e.g. the angle fiber/tissue in the apex area of the prostate and the movements of the shaft during the resection. The authors present a new application system for the laser resection and review their own experience in the development and clinical application system for the laser resection and review their own experience in the development and clinical application of Holmium:YAG laser technology for prostatectomy. Between 3/97 and 12/98, 79 patients were treated with the holmium laser resection of the prostate. The laser resections with the specially designed laser-resectoscope were performed from 5/98-12/98 (n-28 patients). With the new resectoscope a proper instrumentation became available. A ceramic tip mounted lever provided a deflection at an angle of 20° of the fiber without any damage of the applicator during the laser application. The manipulation of the fiber within the shaft in all three directions makes an enucleation of the prostate possible. The mean operating time was 63 minutes. There were no acute perioperative complications. The mean postoperative AUA symptom score was 9.1 compared to 22.5 preoperatively. The mean postoperative peak flow rate was 19.1 ml/s compared to 7 ml/s preoperatively. The new technical device improves holmium laser prostate resection and a combination of techniques provides an effective method with minimal complications and morbidity.

Citation Download Citation

Rolf H. Eichenauer, Christian Doehn, Gerit Droege, Ralf Brinkmann, Manfred Salamon, and Dieter Jocham "New application system for the holmium laser resection of the prostate", Proc. SPIE 3590, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems IX, (22 June 1999); https://doi.org/10.1117/12.350959

ACCESS THE FULL ARTICLE

INSTITUTIONAL
Select your institution to access the SPIE Digital Library.

SELECT YOUR INSTITUTION

PERSONAL
Sign in with your SPIE account to access your personal subscriptions or to use specific features such as save to my library, sign up for alerts, save searches, etc.

PERSONAL SIGN IN

No SPIE Account? Create one

PURCHASE THIS CONTENT

SUBSCRIBE TO DIGITAL LIBRARY

50 downloads per 1-year subscription

Members: $195

Non-members: $335 ADD TO CART

25 downloads per 1 - year subscription

Members: $145

Non-members: $250 ADD TO CART

PURCHASE SINGLE ARTICLE

Includes PDF, HTML & Video, when available