Document Detail


Transurethral endoscopic treatment of upper urinary tract tumors using a holmium:YAG laser.
MedLine Citation:
PMID:  12766954     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVES: The feasibility of treating upper urinary tract tumors with a holmium:YAG (Ho:YAG) laser in transurethral endoscopy was examined. STUDY DESIGN/MATERIALS AND METHODS: Thirty-three treatments were performed on 30 patients with renal pelvic and ureteral carcinomas. After vaporization and coagulation eliminated the tumors, the surrounding mucosa was fully coagulated. Postoperative follow-up consisted of urinary cytology once a month, cystoscopy every 3 months, excretory pyelography every 6 months, and uretero-pyeloscopy every 6-12 months. RESULTS: The recurrence rate after the first treatment was 86% in the imperative indication group. The tumor-free rate (median follow-up, 37 months) in the imperative indication group was 57%. In the elective indication group, those values were 20 and 95% (median follow-up, 33 months), respectively. CONCLUSIONS: Transurethral endoscopic treatment of upper urinary tract tumors using Ho:YAG laser can be a useful method on limited cases identified into specific treatments groups combined with a strict follow-up.
Authors:
Kei Matsuoka; Shizuka Lida; Katsuro Tomiyasu; Michiro Inoue; Shinshi Noda
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Lasers in surgery and medicine     Volume:  32     ISSN:  0196-8092     ISO Abbreviation:  Lasers Surg Med     Publication Date:  2003  
Date Detail:
Created Date:  2003-05-26     Completed Date:  2003-12-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8007168     Medline TA:  Lasers Surg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  336-40     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Wiley-Liss, Inc.
Affiliation:
Department of Urology, Kurume University School of Medicine, Kurume City 8300011, Japan. keimat@med.kurume-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Carcinoma, Transitional Cell / surgery*
Endoscopy / methods*
Humans
Kidney Neoplasms / surgery*
Laser Therapy / methods*
Treatment Outcome
Ureteral Neoplasms / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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