Laser photocoagulation, due to simplicity and good results, is the main alternative to TURP in BPH. The technical evolution of materials and procedures has favoured vaporisation of the prostate instead of simple coagulation. More energy has thus been required for the treatment, leading to fibre damage or malfunctioning and increasing cost for single treatment. We report our initial experience with the Quadralase fibre that has a specially designed distal cap, which always allows the laser beam to be transmitted through a clean surface. We believe this is a further technical improvement in prostatic vaporisation with Nd:YAG laser, which may reduce operating times and fibre damage.
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