Visual laser ablation of the prostate (VILAP): Experience of the first one hundred cases in Jakarta

Transurethral resection of the prostate (TUR P) is still regarded as a standard treatment for BPH, but still have complication. Visual laser ablation of the prostate (VILAP) using Neodymium Yttrium Aluminum Garnet laser has been introduced as an alternative treatment for BPH since 1992. We have treated 100 cases of BPH by VILAP since April 1993 till May 1994 in Sumber Waras Hospital. Mean age of the patients is 67.8 years range 41-91 years. From the 100 patients, only in 85 patients was the data obtained enough for analysis. There were improvement of mean symptom score (Madsen Iversen) from 18.3 initially to 8.4 and 6.0 after 1 month and 2 months respectively (p < 0.05) and mean maximal flow rate increased from 6.7 ml/second to 10.8 mil second and 13 ml/second after 1 month and 2 months respectively (p < 0.05) while rest urine dropped from 107.8 ml initially to 34.4 ml and 11.2 mi 1 month and 2 months respectively (p < 0.05). Complications: Post operative bleeding occured in 2 patients but no blood transfusion was required, post operative pain were found in 3 cases and prolonged retention (more than one week) in 19 cases and in two cases TUR P were done. From 74 cases who are still concern with sex, retrograde ejaculation were found in 2 cases, impotence in one case and in 3 cases failure to have full rigidity were noticed.