Open AccessTransurethral Drainage of Prostatic Abscess Using 120 W Holmium Laser Technology
Author(s) -
E.H. Olarte Barragán,
Laura SánchezCaballero,
Pau Sarrió Sanz,
Baraa Nakdali-Kassab,
Miguel Gómez-Garberí,
L. Gómez Pérez,
M. Ortiz Gorraiz
Publication year - 2021
Publication title -
journal of lasers in medical sciences
Language(s) - English
Resource type - Journals
eISSN - 2228-6721
pISSN - 2008-9783
DOI - 10.34172/jlms.2021.80
Subject(s) - medicine , surgery , prostate , abscess , coagulopathy , transurethral resection of the prostate , radiology , cancer
Prostatic abscess is an infrequent but serious pathology that could be treated by ultrasound-guided puncture, transurethral resection, or open surgery. Case Report: We present a case of a 72-year-old male with a 3x5 cm prostatic abscess in the right lobe showed in abdominal computed tomography (CT). In the blood test, he presented coagulopathy. Urgent transurethral drainage by holmium laser was decided to be performed. It started with incision and opening of the right prostatic lobe with an energy of 1.2 J and a frequency of 20 Hz with a total power of 24 W. A 550-micron fiber was used for this technique. Coagulation of the area was performed with a power of 20 W. The postoperative course was uneventful. Conclusion: The holmium laser appears to be an effective alternative in the treatment of this pathology in patients with coagulation disorders by providing adequate hemostatic control.