Korean J Urol.  2012 Sep;53(9):654-656. 10.4111/kju.2012.53.9.654.

Mini-Photoselective Vaporization of the Prostate for Difficult Intermittent Self-Catheterization

• Spernat D
• Woo HH

• KMID: 2061706
• DOI: http://doi.org/10.4111/kju.2012.53.9.654

Abstract

Bladder neck incision or transurethral incision of the prostate is a procedure described for men with bladder outflow obstruction associated with a gland size of less than 30 ml. We report a case of a man with detrusor dysfunction who was having increasing difficulty performing clean intermittent self-catheterization of the bladder. The successful use of the 120 W lithium triborate laser to perform a "mini-photoselective vaporization of the prostate" ("mini-PVP") enabled discharge of the patient on the same day as well as resolution of the patient's difficulties in performing self-catheterization. Mini-PVP has proven to be a simple and effective approach to resolution of a prostate configuration impeding the process of clean intermittent self-catheterization.

Keyword

Intermittent urethral catheterization; Prostatectomy; Transurethral resection of prostate

MeSH Terms

Borates
Humans
Intermittent Urethral Catheterization
Lithium
Lithium Compounds
Male
Neck
Prostate
Prostatectomy
Transurethral Resection of Prostate
Urinary Bladder
Volatilization
Borates
Lithium
Lithium Compounds

Figure

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Reference

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2. Traficante A, Disabato G, Grieco A, Ditaranto G, Grande N, Vaccaro A. Transurethral incision of the prostate. Arch Ital Urol Androl. 1997. 69:Suppl 1. 81–85.

3. Villanueva C, Hemstreet GP 3rd. The approach to the difficult urethral catheterization among urology residents in the United States. Int Braz J Urol. 2010. 36:710–715.