Long-Term Results of Interstitial Laser Coagulation for the Treatment of Benign Prostatic ObstructionStefan Zastrow*, Sven Oehlschlaeger, Michael Froehner, Steffen Leike, Vladimir Novotny and Manfred Wirth
Department of Urology, University Hospital Dresden “Carl Gustav Carus”, Fetscherstrasse 74, 01307 Dresden, Germany
- *Corresponding Author:
- Stefan Zastrow
University Hospital Dresden “Carl Gustav Carus”
Department of Urology, Fetscherstrasse 74, 01307 Dresden, Germany
E-mail: [email protected]
Received date : April 29, 2014; Accepted date : June 22, 2014; Published date : June 28, 2014
Citation: Zastrow S, Oehlschlaeger S, Froehner M, Leike S, Novotny V, et al. (2014) Long-Term Results of Interstitial Laser Coagulation for the Treatment of Benign Prostatic Obstruction. Med Surg Urol 3:138. doi:10.4172/2168-9857.1000138
Copyright: © 2014 Zastrow S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objectives: Long term data on the outcome of interstitial laser coagulation for the treatment of sub vesical obstruction due to benign prostatic enlargement have been rarely published. Our long-term outcome data are presented and the technique of interstitial laser coagulation is critically evaluated.
Methods: We carried out an evaluation of the outcome of consecutive interstitial laser coagulation procedures between 1999 and 2004. Follow-up was done by questionnaires sent to the outpatient urologists and by telephone interviews of patients.
Results: 68 patients were treated with ILC. Follow up was available for 66 patients (97%). Mean follow up was 41 months, 40 of 66 patients have been voiding spontaneously after ILC treatment (61%). Mean residual urine volume of these patients at the time of follow up was 25 ml (0-120 ml). Mean Qmax at the time of follow-up was 11.1 ± 4.5 ml/sec. 16 patients have needed a secondary procedure for bladder outlet obstruction (TURP in most of these) and have been catheter-free since that. 10 patients remained on catheter drainage. A history of high residual urine volume or urinary retention was identified as predictor for treatment failure.
Conclusion: Interstitial laser coagulation can be used in selected patients