Title
Nd: YAG laser thermal effect in the prostate: Application to laser treatment of benign prostatic hyperplasia
Date Issued
02 May 1994
Access level
metadata only access
Resource Type
conference paper
Author(s)
University of Texas Medical Branch
Publisher(s)
SPIE
Abstract
We systematically determine the depth of coagulation necrosis induced during Nd: YAG laser irradiation in the prostate of 17 mongrel canines, to define the correlation of laser dose with depth of the lesions. The laser radiation was delivered via a UrolaselN catheter. The effect of various dosimetries on prostatic tissue were investigated using laser power in the range of 8 to 60 watts (W) at varying exposure times, from 20 to 300 seconds (5) . Applied energy ranged from 1. , 000 to 5 , 500 Joules (J). Three distinct features were observed. First, deep coagulation necrosis was induced only with laser regimens of ≥2,100J, suggesting that there is a threshold of energy that must be overcome in order to achieve significant coagulation depth. Second, the deepest coagulation necrosis was achieved with a low power - slow heating regimen (15W X 1805). Tissue surface changes appeared to be responsible for the reduced depth of coagulation necrosis seen with higher power regimens (Barbecue effect). Third, increasing the energy above 3,600J did not augment the depth of coagulation, suggesting that a steady state for temperature distribution is reached at approximately that rate of heating. Our study suggests that a low power - slow heating regimen of 15W X l8OS yields larger volumes of coagulation necrosis than other regimens.
Start page
19
End page
24
Volume
2129
Language
English
OCDE Knowledge area
Urología, Nefrología
Scopus EID
2-s2.0-0011925840
Source
Proceedings of SPIE - The International Society for Optical Engineering
ISSN of the container
0277786X
Conference
Lasers in Urology 1994
Sponsor(s)
Thisresearch was partially supported by grants from the Department of Energy (grant no . DEFGOS 91ER61226 , A003) , The Texas Higher Board of Education , AdvancedTechnology Program (grant no .004952 030) , The Whitaker Foundation, and The C.R. Bard, Inc.
Sources of information:
Directorio de Producción Científica
Scopus