Treatment of Interstitial Cystitis with the Neodymium YAG Laser: The Russian View

Autor:	Andrew Zaitcev
Rok vydání:	2017
Předmět:	Lesion medicine.medical_specialty Fulguration business.industry Recurrent ulcer medicine Urology Neodymium-YAG laser Interstitial cystitis medicine.symptom Evidence level business medicine.disease
Zdroj:	Bladder Pain Syndrome – An Evolution ISBN: 9783319614489
DOI:	10.1007/978-3-319-61449-6_31
Popis:	Fulguration of Hunner lesions is specifically recommended for Hunner type IC with evidence level 3 or recommendation Grade B-C in clinical guidelines [1–4]. The introduction of the neodymium: yttrium aluminum-garnet laser (Nd:YAG) in 1985 by Shanberg and Malloy [5] offered the theoretical possibility of primary Hunner type IC or recurrent ulcer treatment. Authors have found it necessary to lower the wattage of energy used to prevent damage to structures adjacent to the bladder. Most patients (17 of 19) with Hunner lesion showed good results, but 12 reported recurrence of symptoms between 6 and 8 months’ post-treatment. The outcome was worse in non-Hunner type of disease and did not exceed 65%. In two patients, small—bowel perforations occurred.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::d09b6acc3287bafcfe2e704cc6194a87 https://doi.org/10.1007/978-3-319-61449-6_31 Zobrazit plný text záznamu