绿激光选择性前列腺汽化术.ppt

* SPEAKER NOTES: Use player buttons to control videos (Click on slide background, before advancing to next slide) General objective here is to create a “concave” surface To improve flow and visualization, create a working channel from bladder neck to veru, Rotate the cystoscope 60-90° while keeping the video camera on a fixed vertical plane Start at the bladder neck (1 o’clock or 11 o’clock) using a sweeping motion anterior to posterior Systematically lase down to the capsular fibers from the bladder neck to the verumontanum Once the entire lobe has been vaporized and hemostasis is confirmed, rotate the scope to the contralateral lobe Repeat the same process on contralateral lobe * SPEAKER NOTES Use player buttons to control videos (Click on slide background, before advancing to next slide) AMS says: Treat anterior tissue at the discretion of the urologist. Potential advantages of not treating it include less potential chance for bleeders due to less scope trauma Rotating the scope 180 degress technically follows the design of the scope. Some physicians say: Always treat anterior tissue first. Thought here is less chance for bleeding early on. Keep scope fixed, rotate fiber 180 degrees – thought here is less chance for scope trauma but it could damage the beak of the scope. 初始功率为100W * SPEAKER NOTES Use player buttons to control videos (Click on slide background, before advancing to next slide) 初始功率为100W * SPEAKER NOTES Use player buttons to control videos (Click on slide background, before advancing to next slide) * SPEAKER NOTES Use player buttons to control videos (Click on slide background, before advancing to next slide) 初始功率为100W * SPEAKER NOTES If case is 60 min then remove catheter when anesthetic is worn off Foley insertion. The speaker should speak about his own practice and elaborate on how it‘s motivated. In general it should be noted that: The decision about whether to insert a foley should depend on the completeness of the tissue re