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Mini-Photoselective Vaporization of the Prostate for Difficult Intermittent Self-Catheterization
Daniel Spernat,Henry Hyunshik Woo 대한비뇨의학회 2012 Investigative and Clinical Urology Vol.53 No.9
Bladder neck incision or transurethral incision of the prostate is a procedure described for men with bladder outflow obstruction associated with a gland size of less than 30 ml. We report a case of a man with detrusor dysfunction who was having increasing difficulty performing clean intermittent self-catheterization of the bladder. The successful use of the 120 W lithium triborate laser to perform a “mini-photoselective vaporization of the prostate” (“mini-PVP”) enabled discharge of the patient on the same day as well as resolution of the patient’s difficulties in performing self-catheterization. Mini-PVP has proven to be a simple and effective approach to resolution of a prostate configuration impeding the process of clean intermittent self-catheterization.