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N Silber

Publications and source records attributed to N Silber.

4 recordsLinked to original sources

Neodymium:YAG laser treatment of bladder neck contracture following prostatectomy.

A total of 21 patients with postprostatectomy bladder neck contracture underwent treatment with Nd:YAG laser irradiation. A new 800-microns hemispherical optical quarz fiber was used in contact technique to produce linear incisions in the scarred tissue. Within 11.2 months, median of follow-up, there was improvement in the obstructive voiding symptoms in all the patients. Two patients who had still mild contracture in the first follow-up cystoscopy were managed successfully with a second treatment. Endoscopic application of laser energy in the contact mode enables the immediate vaporization and disintegration of the fibrous area and secondary reepithelization of the bladder neck without scarring.

Aged

Severe sepsis following extracorporeal shock wave lithotripsy.

A patient with life-threatening sepsis following extracorporeal shock wave lithotripsy (ESWL*) is described. The urosepsis was complicated by meningitis and diffuse metastatic endophthalmitis necessitating enucleation of the right eye. Retinal detachment occurred in the left eye following focal endophthalmitis and the operation yielded a poor functional result. The patient was discharged from the hospital 3 months after the ESWL therapy, free of urinary stones. The etiology, treatment and prophylaxis of this serious problem are discussed.

Aged

[Laser treatment for transitional cell cancer of the bladder].

The neodymium (ND):YAG laser has become popular among urologists during the past 10 years. Laser irradiation can be used for the treatment of superficial transitional cell carcinoma of the bladder. The ND:YAG laser rays have 3 properties that make them particularly suited to urology: a 4-6 mm depth of penetration, transmissibility via quartz fibers, and non-absorbability by water. 7 men and 4 women, aged 55-77 years (mean 73), underwent ND:YAG laser irradiation of recurrent low-stage tumors as outpatients, under local anesthesia. Catheters were not left in and the patients were discharged about 30 minutes after treatment. In a short follow-up of 2-6 months there were no recurrences; cystoscopic follow-up continues.

Aged