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Transurethral canine prostatectomy with a cylindrically diffusing fiber

机译:经圆柱形弥散纤维的经尿道犬前列腺切除术

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Abstract: In this study, visual laser ablation of the prostate (VLAP) was performed on eight mongrel dogs utilizing a cylindrically diffusing fiber attached to a 1.06 neodymium:YAG (Nd:YAG) laser. All dogs received one continuous dose totaling 15,000 J (25 W for 10 min) applied from the vesical neck to the colliculus seminalis. There was no visible hemorrhage from the lasing intraoperatively in any dog. Postoperative recovery was uneventful with no dog experiencing urinary incontinence and only one incident of dysuria with urinary retention during their observation period. Gross and histopathologic examinations of serial sections of the prostate were performed from 2 hours to 7 weeks postoperatively and demonstrated a consistent spherical zone of destruction 2.9 cm (average) in diameter. We believe the simplified fiber placement and complete lack of postoperative complications in this small group of dogs suggest that the cylindrically diffusing fiber offers significant advantage over laterally deflecting fibers for transurethral prostatectomies in the dog. !4
机译:摘要:在这项研究中,对八只杂种狗进行了视觉激光消融(VLAP),方法是使用圆柱形扩散光纤连接到1.06钕:YAG(Nd:YAG)激光上。所有的狗接受从膀胱颈到半结肠的连续剂量,总计15,000 J(25 W,10分钟)。在任何手术中,激光发射均无可见出血。术后恢复平稳,没有狗发生尿失禁,在观察期间仅发生了一次尿痛并排尿困难。术后2小时至7周对前列腺的连续切片进行大体和组织病理学检查,结果显示一致的球形破坏区直径为2.9厘米(平均)。我们相信,在这小组狗中,简化的纤维放置和完全没有术后并发症表明,对于狗的经尿道前列腺切除术,圆柱形扩散纤维比侧向偏转纤维具有明显优势。 !4

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