Despite technical refinements of the 120 W lithium-triborate laser fiber degradation and significantly decreased power output are still detectable during the procedure. Laser fibers are not fully appropriate for the high power delivery of the new system. There is still potential for further improvement in the laser performance. Therefore, the extent to which laser fibre degradation and loss of power output take place during 120W LBO-LV of the prostate was evaluated.
Material and Methods:Forty-six laser fibres were investigated during routine 120W LBO-LV in 35 patients suffering from prostatic bladder outflow obstruction. Laser beam power was measured at baseline and after the application of every 25kJ during LV. The fibre-tips were microscopically examined after the procedure.Results: Mild to moderate degradation at the emission window associated with a loss of power output occurred in all fibres. A steep decrease to a median power output of 57.3% of the baseline value was detectable after the application of the first 25kJ. The median power output at the end of the defined 275kJ-lifespan of the fibres was 48.8%.
Conclusions:Despite the technical refinements of the 120W LBO-laser, fibre degradation and a significant decrease of power output are still detectable during the procedure. The laser fibres are not fully appropriate for the high power delivery of the new system. Thus, there is still potential for further improvement of the laser's performance.3