ROCAMED MH01 - Urology Indications; Urology Contraindications; Urology Warnings; Urology Precautions

48
NOTE-MH01-EN rev05
- Immediately following laser therapy, the patient may experience fever and
leucocytosis, which are commonly associated with tissue destruction. These generally
resolve without treatment.
- Laser ablated tissue may become necrotic or infected after treatment. If a question of
infection exists, appropriate treatment should be carried out.
The following complications could be serious and could result in death:
- Patients may experience bleeding at the site of laser therapy. Post-treatment
haematocrits are recommended to identify this potential complication.
- Sepsis can result from performing any surgical procedure. If a question of sepsis exists,
appropriate evaluations should be made.
- Perforation may occur as a result of laser treatment. To diagnose perforations,
patients must be carefully followed post-operatively with appropriate tests.
6.3 Urology Indications
The following applications are indicated for urology while using the Ho:YAG wavelength: open
and endoscopic urological surgery (ablation, vaporization, incision, excision, and coagulation
of soft tissue) including treatment of:
- Endoscopic fragmentation of urinary (urethral, ureteral, bladder and renal) calculi
- Ablation and resection of Bladder Tumors, Ureteral Tumors and Ureteral Tumors;
- Condylomas;
- Lesions of external genitalia;
- Urethral strictures;
- Bladder neck incision.
6.3.1 Urology Contraindications
The Ho:YAG wavelength should not be used in patients with the following conditions:
• Inability to receive endoscopic treatment
• Intolerance to anaesthesia
6.3.2 Urology Warnings
Read General Laser Warnings (see Section 6.2.1) for a list of warnings.
6.3.3 Urology Precautions
Caution
Care should be exercised so as not to over distend the bladder when using the
laser endoscopically. Excessive bladder distension could result in coagulative
necrosis of the superficial and inner muscular region of the bladder wall.
Read General Laser Precautions (see Section 6.2.2) for a list of additional
precautions.
6.3.4 Urology Complications
Read General Laser Complications (see Section 6.2.3) for a list of complications.
6.3.5 Urology Clinical Parameters
The Ho:YAG wavelength provides effective hemostasis without damaging surrounding or
non-target tissues. Coagulation can be effected by reducing the energy or power density
incident on vascularized tissue in two ways.