EXTENSIVE NEODYMIUM-YAG PHOTOIRRADIATION OF THE PROSTATE IN MEN WITH OBSTRUCTIVE PROSTATISM

Objective. To determine if high-dosage, extensive photoirradiation of the prostate could be used safely in men with large prostate glands an d obstruction, coupled with acceptable clinical results. Methods. Trea tment of 25 men consecutively with eight quadrant photoirradiation of the prostate. Treatment of the next 25 men with high-dosage energy up to 109,000 joules. Simultaneous transrectal needle biopsy of the prost ate performed on all 50 men after treatment. Patients evaluated with f our- to sixteen-month follow-up. Results. Success rate of 86 percent o n all patients with mean American Urological Association (AUA) symptom score decreasing by nineteen points and mean peak uroflow rate increa sing by 7.9 cc. Needle biopsy after high-dosage laser therapy shows no laser effect on the peripheral zone. Conclusions. High-dosage laser e nergy can be used safely, and allows us to treat large prostates with excellent clinical results and minimal complications.