REVOLIX 30: THULIUM 30 W FOR LASER PROSTATECTOMY

The thulium fiber laser operating at a wavelength of 2 µm delivers radiation in a continuous-wave or pulsed mode (10 msec) through either 800-µm-core low-OH silica fibers for vaporization of prostate.As compared to Holmium LASER ,this LASER has excellent evaporaton capabilities and the fibre has precise cut without vibration unlike the Holmium LASER. This LASER creates a coagulation zone of of 400 to 600 µm. The thulium fiber laser has several potential advantages over the holmium laser including more efficient operation, more precise incision of tissues, and operation in either the pulsed or the continuous-wave mode. We tried Revolix 30 W LASER technology in 15 consecutive patients.Although this LASER does not vaporise the prostate satisfactorily yet its precision in cutting is still good enough to enucleate the prostate.Those who are well trained in LASER enucleation of the prostate gland for them this LASER is a new ray of hope.There are several advantages of Revolix 30 w 1) the machine is portable so can be used by urologists who operate at several places 2)Its efficacy in enucleation is very good and the surgery is almost bloodless.( Although in our experience the speed of the surgery is inferior to higher watt THULIUM Lasers.Its very safe on cardiac frail patients and those who are on anticoagulants and antiplatelet agents. 3)Its cost effective as compared to other contemporary LASERs.