High-power potassium-titanyl-phosphate or lithium triboride laser photoselective vaporization prostatectomy for benign prostatic hyperplasia: A systematic approach

Carson Wong, Motoo Araki, Jeremy B. Tonkin

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background and Purpose: We describe a safe and reproducible technique for potassium-titanyl-phosphate (KTP) and lithium triboride (LBO) laser photoselective vaporization prostatectomy (PVP). Technique: With the patient under anesthesia in the dorsal lithotomy position, cystoscopy is performed. Using a high-power KTP/LBO laser system, a groove is created along the lateral-median lobe junction from the bladder neck to the verumontanum to delineate the margins of vaporization. The remainder of the ipsilateral lobe is vaporized using a series of overlapping passes along the length of the groove. The contralateral lobe is vaporized in a similar manner. Finally, the median lobe is vaporized from lateral to medial. A 20F urethral catheter is placed at the conclusion of the procedure. Results: This technique has been successful in 240 consecutive patients over an 18-month period. Conclusion: This systematic approach has been safe, effective, and reproducible for KTP/LBO laser PVP. It has become our standard technique for this procedure.

Original languageEnglish
Pages (from-to)1141-1144
Number of pages4
JournalJournal of Endourology
Volume21
Issue number10
DOIs
Publication statusPublished - Oct 1 2007
Externally publishedYes

ASJC Scopus subject areas

  • Urology

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