From November 1992 to the present, 50 patients, most of whom suffering from severe cardiovascular, respiratory, neurological or hemocoagulative disorders, underwent laser prostatic ablation (VLAP) with Nd:YAG laser. Clinical and uroflowmetric follow-up at 6 weeks, 3 and 6 months showed significant improvement with low morbidity. We believe that VLAP is an alternative to TURP in patients with BPH. A better definition of techniques and overcoming the restrictions due to the learning curve could lead to even better results in the future.
The Authors report their experience on the study of urothelial bladder cancer by determining the overexpression of p53, DNA-content by flow-cytometry, Ki 67, TLI and cytofluorimetric S-phase in 81 patients. Ki 67, DNA content and p53 overexpression are statistically related with histologic grade, unlike TLI and S-phase. TLI, overexpression of p53 and Ki 67 are statistically related with stage, whereas ploidy and S-phase do not show any relation with stage. The Authors discuss these findings.
We present the case of a young man from Ghana, who complained of dysuria and gross haematuria: he had bladder schistosomiasis. We associated Nd-Yag-laser photocoagulation of residual polipoid lesions with standard pharmacotherapy to obtain a linear cicatrization, without spreading infectious pathological material and with better riepithelialization, to reduce belated obstructive complications, common in this disease. A larger casuistry and longer follow-up are necessary to define the efficacy of this technique.
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