Abstract
Prostatic surgery using contact irradiation method with Nd: YAG laser was performed in 71 patients with symptomatic BPH in Nihon University Hospital. This therapy in this mode is similar to standard TUR-P, because of creating a large cavity by vaporization in the prostatic urethra. The results of preoperative examinations in the 71 cases were as follows; International Prostate Symptom Score (IPSS) ranged from 12-32 (av. 21) points, and maximal flow rate (Qmax) ranged from 0.4-19.5 (av. 6. 53) ml/sec. The results of postoperative examinations were as follows; 6-week postoperative IPSS and Qmax were 2-26 (av. 10. 2) points and 2.9-29 (av. 13. 3) ml/sec., respectively. Improvements of these subjective and objective urinary conditions were maintained for over one year. Prostatic surgery using contact irradiation method with Nd: YAG laser was equal or slightly inferior to standard TURP in usefulness but less invasive than standard TURP.
