Abstract
TURP is performed in 80% of cases of benign prostatic hypertrophy (BPH), but one of the alternative methods, which uses the photocoagulating energy of the laser beam and in particular the Nd-Yag, seems to be very promising. Used in prostates with a suitable weight (< 40 g) and in particular in high-risk patients with myocardiopathies and/or coagulative troubles, this source of energy, through fibres at right angles or in contact or interstitial, permits the photocoagulation or vaporisation of the prostatic tissue. Association of this technique with the usual TURP has been suggested in heavier prostates, for a quick return to spontaneous micturition. The absence of bleeding, retrograde ejaculation and more serious complications, plus the reduced time of hospitalisation make this a safe technique in selected cases.
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