Table 2

Method
Effect

1) Transurethral (TU) endoscopic beam from a "bare" fibre.

TU endoscopic beam KTP or Holmium laser

Deep coagulation + some vaporisation.

Vaporisation + some coagulation.

2) TU endoscopic fibre with a specialised "tip". Superficial vaporissation or cutting. Some coagulation.
3) Interstitial application of laser energy endoscopically or percutaneously using a "bare" or modified fibre. Deep localised coagulation with variable immediate tissue disruption (minimal with diffusor tips, more marked with bare fibres).

4) TU endoscopic fibre with various beam deflecting devices.

a) TU balloons in combination with deflector.

b) Low power density (PD)
Wide beam, 40-60W, Non contact.

c) High PD Narrow beam, 60-80W, Contact or near contact. e.g. Nd-YAG of Holmium laser.

 

Deep coagulatoins with minimal immediate tissue disruption.

Deep coagulation and some immediate tissue disruption.

Variable degree of tissue disruption, some vaporisation with underlying coagulation.

 

 

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