Cpt|ma| 1reatment of 8n (8en|gn rostat|c nyperp|as|a) us|ng a Mu|t|d|sc|p||nary

DICLAS LID 3000 Laser for hotose|ect|ve Vapor|zat|on of the rostate

! neymeyer 1h Wulflng W AbdulWahab AlAnsarl A AposLolldls and M 8eer

lranzlskus PosplLal 8erlln ueparLmenL of urology and urogynaecology CharlLe Medlcal unlverslLy 8erlln (Cermany)
1 Introduct|on
CurrenL laser devlces used ln Lhe LreaLmenL
of 8P face several llmlLaLlons ln parLlcular
regardlng selecLlon of approprlaLe paLlenLs
condlLlons durlng LreaLmenL and ouLcome
Cur alm was Lo show LhaL Lhe newly
developed mulLldlsclpllnary laser ulCLAS
Llu 3000 by Llmmer Laser uslng Lhe Leveled
lleld uenslLy (Llu) 3000 LreaLmenL mode ls
an effecLlve meLhod of lmprovlng all
menLloned aspecLs of Lhe phoLoselecLlve
LreaLmenL of 8P Moreover Lhe alm was a
dlrecL comparlson wlLh Lhe 80 W CreenLlghL
v laser sysLem
2 Mater|a| and Methods
1hls sLudy lncluded a LoLal of 43 paLlenLs
(n18 wlLh Llu 3000 n23 wlLh v
CreenllghL) who suffered from 8P where
42 paLlenLs Look blood Lhlnnlng drugs
varlous lmporLanL lndlcaLors of Lhe pre
lnLra and posLoperaLlve seLLlngs were
evaluaLed durlng and afLer LreaLmenL for
comparlson wlLh Lhe 80 W v CreenLlghL
laser sysLem ConsequenLly all paLlenLs
were evaluaLed regardlng lSS CoL SA
maxlmal flow raLe (Cmax) and posL voldlng
resldual volume (vres) PlsLology was done
for measurlng Lhe peneLraLlon depLh
3 kesu|ts
Whlle complylng wlLh all Lyplcal advanLages of Lhe
laser LreaLmenL of 8P Lhe group of paLlenLs
LreaLed wlLh Llu 3000 showed less Lyplcal
compllcaLlons durlng Lhe flrsL week afLer
LreaLmenL such as resldual urlne lnflammaLlons
and paln Lhan Lhe group of v paLlenLs lurLher
poslLlve aspecLs of Lhe ulCLAS Llu 3000 are
lnsLallaLlon requlremenLs (no hlgh volLage or
exLernal waLer supply) condlLlons durlng
LreaLmenL (vaporlzaLlon efflcacy free slghL
coagulaLlon effecL eLc) and general comforL for
Lhe surgeon (no opLlcal fllLers needed handllng)
MosL lmporLanL peneLraLlon depLh uslng Llu
mode ln prosLaLlc Llssue ls only 1 mm or less
4 Conc|us|on
1he ulCLAS laser uslng Lhe newly developed Llu
3000 mode for reachlng a mlnlmum peneLraLlon
depLh aL excellenL coagulaLlon has shown
slgnlflcanL lmprovemenLs ln comparlson Lo
esLabllshed sysLems such as Lhe 80 W v 1he
ouLcome of Lhe LreaLmenLs has shown convlnclng
resulLs LhaL are supporLed by mld and longLerm
lndlcaLors 1o conclude lL can be sald LhaL Lhe
ulCLAS Llu 3000 has proven effecLlve ln dally
cllnlcal use and lmplles beLLer handllng aL lower
cosLs uue Lo lLs success Lhe sLudy wlll be
exLended Lo a mulLlcenLer Lrlal
1 vaporlzaLlon of
Lhe rosLaLe
2 1u8 for 1lssue
LxLracLlon
3 Mlcroscoplc
Analysls
4 PlsLologlcal
8esulLs
n|sto|ogy shows enetrat|on depth w|th DICLAS LID 3000 |s 1 mm or |ess A th|n
coagu|at|on zone stopped the t|ssue b|eed|ng effect|ve|y 1he h|gh absorpt|on |n
water |s |dea| for max vapor|zat|on even at |ow energy