OUTPATIENT VISUAL LASER-ASSISTED PROSTATECTOMY UNDER LOCAL-ANESTHESIA

Objective. Visual laser-assisted prostatectomy (VLAP) with a noncontac t right-angle delivery system recently has been introduced as a new tr eatment option for symptomatic outlet obstruction secondary to benign prostatic hyperplasia. The right-angle laser technology has numerous p otential advantages over traditional transurethral resection of the pr ostate. These advantages include the feasibility of performing the VLA P procedure under local anesthesia without bleeding. We summarize our experience with VLAP performed with local anesthesia administered with periprostatic block. Methods. This technique was employed in 46 men w ith symptomatic BPH as an out-patient procedure. All men were evaluate d prior to surgery with flow rates, residual volume determinations, an d AUA-6 symptom score analyses. Follow-up occurred at three and six mo nths and included repeat measures of flow rates, residual volumes, and symptom scores. Results. Mean AUA symptom scores and uroflow paramete rs significantly improved with six months' follow-up. No significant c omplications were encountered. Conclusions. VLAP under local anesthesi a as an outpatient procedure is a promising treatment alternative for men with symptomatic benign prostatic hyperplasia.