Holmium:YAG laser vaporization of recurrent papillary tumours of the bladder under local anaesthesia
- 3 August 2004
- journal article
- research article
- Published by Wiley in BJU International
- Vol. 94 (3), 322-325
- https://doi.org/10.1111/j.1464-410x.2004.04882.x
Abstract
To 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. In 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. In 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. This 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.Keywords
This publication has 10 references indexed in Scilit:
- Does cystoscopy correlate with the histology of recurrent papillary tumours of the bladder?BJU International, 2001
- Holmium:YAG Laser Treatment of Recurrent Superficial Bladder Carcinoma: Initial Clinical ExperienceJournal of Endourology, 2001
- Laser Treatment for Invasive and Noninvasive Carcinoma of the BladderJournal of Endourology, 2001
- TREATMENT OF MULTIFOCAL SUPERFICIAL TRANSITIONAL CELL CANCER OF THE BLADDER USING ROLLER BALL ELECTROVAPORIZATIONJournal of Urology, 2001
- Extirpation and fulguration of multiple superficial bladder tumour recurrences under intravesical lignocaine anaesthesiaBritish Journal of Urology, 1994
- Use of the holmium:YAG (Ho:YAG) laser for treatment of superficial bladder carcinomaLasers in Surgery and Medicine, 1994
- LASER SURGERY FOR TRANSITIONAL-CELL CARCINOMAUrologic Clinics of North America, 1992
- Cystodiathermy under Local Anaesthesia using the Flexible CystoscopeBritish Journal of Urology, 1992
- Lasers in the Treatment of Bladder CancerBritish Journal of Urology, 1991
- Outpatient Flexible Cystoscopy and Fulguration of Recurrent Superficial Bladder TumorsJournal of Urology, 1990