Bladder neck incision using a 70 W 2 micron continuous wave laser (RevoLix).
Identifieur interne : 000621 ( PubMed/Corpus ); précédent : 000620; suivant : 000622Bladder neck incision using a 70 W 2 micron continuous wave laser (RevoLix).
Auteurs : Thorsten Bach ; Thomas R W. Herrmann ; Christian Cellarius ; Andreas J. GrossSource :
- World journal of urology [ 0724-4983 ] ; 2007.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Prostatectomy.
- etiology : Urinary Bladder Neck Obstruction.
- instrumentation : Laser Therapy.
- methods : Laser Therapy.
- pathology : Sclerosis, Urinary Bladder Neck Obstruction.
- surgery : Urinary Bladder Neck Obstruction.
- Aged, Endoscopy, Humans, Male, Middle Aged.
Abstract
Postoperative bladder neck contracture continues to be a frequently occurring problem. Bladder neck incision (BNI) continues to be the standard mode of treatment. However, the recurrence rate appears to be high. Therefore alternative treatment options are still needed. We report about initial experience with the RevoLix 2 micron continuous wave laser for BNI after a 1-year follow-up. Fourteen patients with a second or third recurrence of bladder neck contracture after primary surgery were included into the trial. All patients reported high-grade obstruction and residual urine. BNI was performed using a 70 W 2-micron continuous wave laser (RevoLix). This laser utilizes the thulium as an active ion. Laser incisions were applied in 5 and 7o'clock lithotomy position. Remaining tissue was vaporized. Assessed outcomes were improvement in AUA-symptom-score, quality of life index and uroflowmetry, measured preoperatively, after 2 and 12 months postoperatively. Mean operating time was 7 min, mean catheterization time was 6.5 h. The mean maximum uroflow-rate improved from 9 ml/s preoperatively to 23 ml/s. AUA-symptom score improved from 22 to 8 points and quality of life index improved from four to one. Two patients developed restenosis so far. Although longer follow-up and larger sample size are needed, BNI with the RevoLix laser is a fast, safe and promising procedure in recurrent bladder neck sclerosis.
DOI: 10.1007/s00345-007-0169-4
PubMed: 17473926
Links to Exploration step
pubmed:17473926Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Bladder neck incision using a 70 W 2 micron continuous wave laser (RevoLix).</title><author><name sortKey="Bach, Thorsten" sort="Bach, Thorsten" uniqKey="Bach T" first="Thorsten" last="Bach">Thorsten Bach</name><affiliation><nlm:affiliation>Department of Urology, Asklepios Hospital Barmbek, Ruebenkamp 220, 22291, Hamburg, Germany. t.bach@asklepios.com</nlm:affiliation></affiliation></author><author><name sortKey="Herrmann, Thomas R W" sort="Herrmann, Thomas R W" uniqKey="Herrmann T" first="Thomas R W" last="Herrmann">Thomas R W. Herrmann</name></author><author><name sortKey="Cellarius, Christian" sort="Cellarius, Christian" uniqKey="Cellarius C" first="Christian" last="Cellarius">Christian Cellarius</name></author><author><name sortKey="Gross, Andreas J" sort="Gross, Andreas J" uniqKey="Gross A" first="Andreas J" last="Gross">Andreas J. Gross</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="doi">10.1007/s00345-007-0169-4</idno><idno type="RBID">pubmed:17473926</idno><idno type="pmid">17473926</idno><idno type="wicri:Area/PubMed/Corpus">000621</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000621</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Bladder neck incision using a 70 W 2 micron continuous wave laser (RevoLix).</title><author><name sortKey="Bach, Thorsten" sort="Bach, Thorsten" uniqKey="Bach T" first="Thorsten" last="Bach">Thorsten Bach</name><affiliation><nlm:affiliation>Department of Urology, Asklepios Hospital Barmbek, Ruebenkamp 220, 22291, Hamburg, Germany. t.bach@asklepios.com</nlm:affiliation></affiliation></author><author><name sortKey="Herrmann, Thomas R W" sort="Herrmann, Thomas R W" uniqKey="Herrmann T" first="Thomas R W" last="Herrmann">Thomas R W. Herrmann</name></author><author><name sortKey="Cellarius, Christian" sort="Cellarius, Christian" uniqKey="Cellarius C" first="Christian" last="Cellarius">Christian Cellarius</name></author><author><name sortKey="Gross, Andreas J" sort="Gross, Andreas J" uniqKey="Gross A" first="Andreas J" last="Gross">Andreas J. Gross</name></author></analytic><series><title level="j">World journal of urology</title><idno type="ISSN">0724-4983</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Endoscopy</term><term>Humans</term><term>Laser Therapy (instrumentation)</term><term>Laser Therapy (methods)</term><term>Male</term><term>Middle Aged</term><term>Prostatectomy (adverse effects)</term><term>Sclerosis (pathology)</term><term>Urinary Bladder Neck Obstruction (etiology)</term><term>Urinary Bladder Neck Obstruction (pathology)</term><term>Urinary Bladder Neck Obstruction (surgery)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Prostatectomy</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Urinary Bladder Neck Obstruction</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Laser Therapy</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laser Therapy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Sclerosis</term><term>Urinary Bladder Neck Obstruction</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Urinary Bladder Neck Obstruction</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Endoscopy</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Postoperative bladder neck contracture continues to be a frequently occurring problem. Bladder neck incision (BNI) continues to be the standard mode of treatment. However, the recurrence rate appears to be high. Therefore alternative treatment options are still needed. We report about initial experience with the RevoLix 2 micron continuous wave laser for BNI after a 1-year follow-up. Fourteen patients with a second or third recurrence of bladder neck contracture after primary surgery were included into the trial. All patients reported high-grade obstruction and residual urine. BNI was performed using a 70 W 2-micron continuous wave laser (RevoLix). This laser utilizes the thulium as an active ion. Laser incisions were applied in 5 and 7o'clock lithotomy position. Remaining tissue was vaporized. Assessed outcomes were improvement in AUA-symptom-score, quality of life index and uroflowmetry, measured preoperatively, after 2 and 12 months postoperatively. Mean operating time was 7 min, mean catheterization time was 6.5 h. The mean maximum uroflow-rate improved from 9 ml/s preoperatively to 23 ml/s. AUA-symptom score improved from 22 to 8 points and quality of life index improved from four to one. Two patients developed restenosis so far. Although longer follow-up and larger sample size are needed, BNI with the RevoLix laser is a fast, safe and promising procedure in recurrent bladder neck sclerosis.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">17473926</PMID><DateCreated><Year>2007</Year><Month>06</Month><Day>18</Day></DateCreated><DateCompleted><Year>2007</Year><Month>09</Month><Day>25</Day></DateCompleted><DateRevised><Year>2007</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0724-4983</ISSN><JournalIssue CitedMedium="Print"><Volume>25</Volume><Issue>3</Issue><PubDate><Year>2007</Year><Month>Jun</Month></PubDate></JournalIssue><Title>World journal of urology</Title><ISOAbbreviation>World J Urol</ISOAbbreviation></Journal><ArticleTitle>Bladder neck incision using a 70 W 2 micron continuous wave laser (RevoLix).</ArticleTitle><Pagination><MedlinePgn>263-7</MedlinePgn></Pagination><Abstract><AbstractText>Postoperative bladder neck contracture continues to be a frequently occurring problem. Bladder neck incision (BNI) continues to be the standard mode of treatment. However, the recurrence rate appears to be high. Therefore alternative treatment options are still needed. We report about initial experience with the RevoLix 2 micron continuous wave laser for BNI after a 1-year follow-up. Fourteen patients with a second or third recurrence of bladder neck contracture after primary surgery were included into the trial. All patients reported high-grade obstruction and residual urine. BNI was performed using a 70 W 2-micron continuous wave laser (RevoLix). This laser utilizes the thulium as an active ion. Laser incisions were applied in 5 and 7o'clock lithotomy position. Remaining tissue was vaporized. Assessed outcomes were improvement in AUA-symptom-score, quality of life index and uroflowmetry, measured preoperatively, after 2 and 12 months postoperatively. Mean operating time was 7 min, mean catheterization time was 6.5 h. The mean maximum uroflow-rate improved from 9 ml/s preoperatively to 23 ml/s. AUA-symptom score improved from 22 to 8 points and quality of life index improved from four to one. Two patients developed restenosis so far. Although longer follow-up and larger sample size are needed, BNI with the RevoLix laser is a fast, safe and promising procedure in recurrent bladder neck sclerosis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bach</LastName><ForeName>Thorsten</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Urology, Asklepios Hospital Barmbek, Ruebenkamp 220, 22291, Hamburg, Germany. t.bach@asklepios.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Herrmann</LastName><ForeName>Thomas R W</ForeName><Initials>TR</Initials></Author><Author ValidYN="Y"><LastName>Cellarius</LastName><ForeName>Christian</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Gross</LastName><ForeName>Andreas J</ForeName><Initials>AJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2007</Year><Month>05</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>World J Urol</MedlineTA><NlmUniqueID>8307716</NlmUniqueID><ISSNLinking>0724-4983</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004724">Endoscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D053685">Laser Therapy</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000295">instrumentation</QualifierName><QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011468">Prostatectomy</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012598">Sclerosis</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001748">Urinary Bladder Neck Obstruction</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2007</Year><Month>3</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2007</Year><Month>4</Month><Day>2</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2007</Year><Month>5</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>5</Month><Day>3</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>9</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>5</Month><Day>3</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1007/s00345-007-0169-4</ArticleId><ArticleId IdType="pubmed">17473926</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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