Endoscopic management of post-traumatic prostatic and supraprostatic strictures using neodymium-YAG laser

Ghulam Nabi, Prem Nath Dogra

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

We assessed the feasibility, efficacy and long-term results of endoscopic management using Neodymium-YAG (Nd-YAG) laser as a day care procedure in patients with post-traumatic supraprostatic and prostatic strictures. Three patients with post-traumatic prostatic and supraprostatic obliterative strictures underwent Nd-YAG laser core through urethrotomy as a day care procedure. Patient age ranged between 12 and 14 years. Mean duration of injury was 16 months. The length of stricture was assessed by bi-directional endoscopy prior to the procedure in all cases. Core through procedure was carried out using Nd-YAG laser under the guidance of a cystoscope placed ante-gradely. Patients were discharged on the same day with urethral catheter. Foley catheters were removed at 6 weeks. Nd-YAG laser core through procedure was carried out successfully in all cases with negligible blood loss in a mean time of 48 min. There were no intraoperative or postoperative complications. Patients were discharged on the same day. Follow-up cystogram was conducted at 6 weeks and urethroscopy at months. At a mean follow-up of 23 months, patients were asymptomatic and voiding well. Nd-YAG laser core through urethrotomy is a safe and effective procedure. It is a less invasive alternative to more complex urethroplasty procedures for patients with post-traumatic prostatic and supraprostatic strictures. It can be carried out as a day care procedure in carefully selected patients and has no complications.

Original languageEnglish
Pages (from-to)710-714
Number of pages5
JournalInternational Journal of Urology
Volume9
Issue number12
DOIs
Publication statusPublished - Dec 2002

Keywords

  • Endoscopic management
  • Nd-YAG laser
  • Prostate
  • Prostatic strictures
  • Suprostatic strictures
  • Trauma
  • Urethra
  • Urethral strictures

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