Visual laser ablation of the prostate (VLAP): A comparison of three right angle laser delivery fibres in 77 patients with an analysis of cost and outcome

Abstract

A visual laser ablation of the prostate (VLAP) was carried out using three commercially available quartz fibres capable of directing the laser energy at approximately 90°, with a neodymium: YAG laser, and conventional cystoscopic equipment. The procedure was satisfactorily performed in 77 patients using power settings of 60 watts delivered for 60 seconds in four quadrants (2, 4, 8, and 10 o'clock positions). The procedure was simple and safe with most patients being discharged on the first day. Urinary continence was preserved. No complications have occurred and hospitalization costs were reduced to a mean of $2225 with an average reimbursement of $3392 allowing a contribution margin of 52% for the procedure.

Key Words:

• ablation
• cost containment
• hyperplasia
• laser
• Nd: YAG
• outcome prostate
• transurethral