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Subtotal canine prostatectomy with the neodymium: yttrium-aluminum-garnet laser.

Abstract
A technique was developed for subtotal prostatectomy in dogs with the neodymium:yttrium-aluminum-garnet (Nd:YAG) laser. In six normal dogs, full-thickness necrosis of the prostate occurred if the central-lateral region within 5 mm of the urethra was photoablated at 60 watts for 1 second. Moderate to superficial necrosis occurred when the prostate within 5 mm of the urethra was photoablated at 35 watts for 2 seconds or 60 watts for 0.5 second. At necropsy, leakage of the urethra occurred in two dogs at sites treated at 60 watts for 1 second. In a clinical study, complications associated with subtotal prostatectomy with the Nd:YAG laser (n = 6) were compared with complications associated with prostatic drainage (n = 6) in dogs with prostatic disease. Intraoperative death (2/6 dogs) and nocturnal incontinence (4/4 surviving dogs) occurred with subtotal prostatectomy. Uncontrolled prostatic infection (2/6 dogs) occurred with prostatic drainage and resulted in the death of one dog on day 11. Four of five dogs surviving prostatic drainage developed recurrent urinary tract infection.
AuthorsE M Hardie, E A Stone, K A Spaulding, J M Cullen
JournalVeterinary surgery : VS (Vet Surg) 1990 Sep-Oct Vol. 19 Issue 5 Pg. 348-55 ISSN: 0161-3499 [Print] UNITED STATES
PMID2219672 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Topics
  • Abscess (surgery, veterinary)
  • Animals
  • Cysts (surgery, veterinary)
  • Dog Diseases (surgery)
  • Dogs (surgery)
  • Drainage (veterinary)
  • Laser Therapy (veterinary)
  • Male
  • Postoperative Complications (veterinary)
  • Prostate (surgery, ultrasonography)
  • Prostatectomy (methods, veterinary)
  • Prostatic Diseases (surgery, veterinary)
  • Urinary Incontinence (etiology, veterinary)

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