Lasers in the Treatment of Bladder Cancer

Ruston, M. A.; Fowler, C. G.

doi:10.1111/j.1464-410x.1991.tb15185.x

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…The disadvantages are the cost of the laser equipment and lack of tissue for histology (risking inadequate staging and tumour destruction). Several studies have evaluated different laser types for vaporizing bladder tumours [6][7][8][9][10] but only a very few have assessed the holmium:YAG laser for treating recurrent papillary tumours of the bladder under local anaesthesia [2,11,12].…”

Section: Introductionmentioning

confidence: 99%

Holmium:YAG laser vaporization of recurrent papillary tumours of the bladder under local anaesthesia

2004

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OBJECTIVESTo evaluate holmium:YAG laser vaporization of papillary tumours of the bladder, focusing on surgical technique, patients’ satisfaction, complications and cost‐effectiveness when using the technique under local anaesthesia as an outpatient procedure.PATIENTS AND METHODSIn all, 52 consecutive patients with recurrent papillary tumours of the bladder were scheduled for holmium:YAG laser vaporization under local anaesthesia using a flexible cystoscope. The number of papillomas and total operative duration was recorded. Patients and surgeons were asked to complete a questionnaire about the procedure.RESULTSIn all, 197 papillomas were successfully vaporized in 88 operations, with a median operative duration of 15 min (5 min per papilloma) and no patient needed treatment under general anaesthesia. Most patients (86%) had no pain (as reported during standard cystoscopy) and none of the procedures was stopped because of pain. All patients would undergo the treatment again, compared with a standard transurethral resection of bladder tumour. The five surgeons rated the procedure as easy in most patients (78%) and difficult in a few (6%). The total cost for the outpatient procedure was less than that for standard treatment.CONCLUSIONThis study clearly indicates that holmium:YAG laser vaporization of superficial bladder tumours is feasible, easy and fast, with a high degree of patient satisfaction, and it seems to be an attractive alternative to standard treatment. The procedure has some clear positive socio‐economic perspectives in both the short‐ and long‐term.

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Section: Introductionmentioning

confidence: 99%

Holmium:YAG laser vaporization of recurrent papillary tumours of the bladder under local anaesthesia

2004

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“…There was no difference in the distant recurrence rates in either of the groups [2]. In the treatment of superficial bladder tumours using bare fibre coagulation alone other workers failed to demonstrate a reduced local recurrence rate [3,4].…”

Section: Transitional Cell Carcinomamentioning

confidence: 99%