The introduction of lasers into operative medicine and advances in
fiberoptic technology have made a significant contribution to
minimally invasive surgery. This book was written to raise
awareness of the capabilities and advant ages of lasers in
urological surgery and to make this tech nology more widely
accessible. The book reflects the cumulative experience of 25 years
of laser research and clinical application, starting in 1972 with
studies on laser tissue interactions, endoscopic studies with
fiberoptic "sutures;' and the first clinical use of lasers in 1975
and 1976. These early efforts were followed by the develop ment
oflaser lithotripsy in the early 1980 s and a Lubeck based research
program leading to the development of a "smart" laser lithotriptor
(Lithognost) in the late 1980s. There have been recent advances in
the field of photo dynamic diagnosis based on the use of locally
adminis tered photo sensitizers, a development that will redefine
the role of the Nd:YAG laser in the treatment of bladder cancer.
Perhaps the most interesting concept is the inter stitiallaser
therapy of prostatic hyperplasia and, perhaps one day, certain
forms of prostatic cancer. We have also developed a technique,
first described in 1986, for the laser treatment of schistosomal
bladder lesions. I dedicate this book to the many pioneers oflaser
medi cine and to all the colleagues and research assistants who
accompanied me on this journey. I cannot name them all; their names
can be found in more than 300 publications.
General
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