Holmium YAG Photocoagulation: Safe and Economical Alternative to Transurethral Resection in Small Nonmuscle-Invasive Bladder Tumors
| Autor: | Juan José Cardosa Benet, Juan Francisco Vidal Moreno, Elías Martínez López, Laura Olmos Sánchez, Jorge Planelles Gómez |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty genetic structures Cost effectiveness Urology 030232 urology & nephrology chemistry.chemical_element Pilot Projects Lasers Solid-State Light Coagulation YAG [Holmium] Resection 03 medical and health sciences Holmium 0302 clinical medicine Postoperative Complications Surveys and Questionnaires Bladder tumor Medicine Humans Aged Aged 80 and over cost effectiveness business.industry Health Care Costs Middle Aged equipment and supplies superficial bladder cancers eye diseases Surgery surgical procedures operative chemistry Urinary Bladder Neoplasms Tumor progression Patient Satisfaction 030220 oncology & carcinogenesis Urologic Surgical Procedures Female sense organs Neoplasm Recurrence Local business |
| Zdroj: | J ENDOUROL r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) r-FISABIO. Repositorio Institucional de Producción Científica instname |
| ISSN: | 1557-900X 0892-7790 |
| Popis: | Objective: To analyze our experience in the treatment of recurrences of bladder tumor using Holmium-YAG (Ho:YAG) laser, assessing recurrence rates, tumor progression, degree of safety, and patient satisfaction, as well as the economic repercussions of the technique. Materials and Methods: The study included 109 patients between February 2013 and 2016, who had a superficial recurrence of bladder tumor. Patients were treated by Ho: YAG laser photocoagulation on an outpatient basis and under local anesthetic. Cytology and previous biopsy were collected. The number of tumors, size, time of technique, and any complications were recorded. Subsequently, urine culturing was carried out and we recorded the visual analogue scale, a satisfaction questionnaire, and possible complications. The economic cost of the procedures was calculated. Data were analyzed using a chi-square test for continuous variables and Student's t for independent samples for dichotomous qualitative-quantitative variables. Results: We carried out 139 procedures on 25 women (20%) and 114 men (80%) with a mean age of 67.85 +/- 10.41 years and 246 tumors were treated. The consultation time was 21.5 minutes and the photocoagulation time was 7 minutes (1-35). As intraoperative complications, two patients presented monosymptomatic hematuria without requiring treatment and there were no postoperative complications. The total recurrence rate at 6 months was 20%. A value |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|