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One Year Outcomes of Interstitial Laser Coagulation of the Prostate in 100 Men: A Multicenter Experience

RL Conn; Albuquerque, NM, ED Kursh; Cleveland, OH, JC Williams; Jacksonville, FL, M Steiner; Nashville, TN; M Issa; Atlanta, GA (Presented by Dr. Williams)
Objectives: To report the initial results of treatment of symptomatic benign prostatic hyperplasia using interstitial laser coagulation (ILC) performed with the Indigo 830e diode laser system.
Methods and Materials: Between January 1, 2022 and December 31, 1997, 165 patients underwent ILC as therapy for symptomatic benign prostatic hyperplasia. Preoperative data included AUA symptom index score, maximum urinary flow rate (Q max) and post void residual. ILC via the Indigo 830e and standard cystoscopic instrumentation was performed in an outpatient setting.
Results: ILC patients had pretreatment average AUASI of 22.4, Qmax of 8.6 ml/s, and PVR of 74 ml. Among 104 patients followed to 12 months after treatment the patients had an average ASIS of 8.3, Q max of 14.2 ml/s and PVR of 66 ml. Of the initial treatment group of 165, significant dysuria was reported by 38 patients or 24%. Bladder catheter duration was 4.8 days on average. No patient reported new onset erectile dysfunction. 10 patients or 6% required retreatment for persistent voiding symptoms during the 12 month period.
Conclusions: Interstitial laser coagulation using the Indigo 830e system appears to improve objective and subjective symptoms caused by BPH. Complaints of postoperative dysuria occurred more frequently than previously reported, but decreased as experience with the system increased.
Source: 1999 AUA Meeting

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