Urology Specialties, Conditions, Treatments & Technology

CO2 Laser Therapy

By using the colposcope, the CO2 laser can be delivered to the desired site in a very precise way. A micromanipulator can be used to direct the laser beam and to vaporize the lesion under direct vision with adequate margin and depth. Prior to laser, the popular method for treatment of patients with CIN was cryotherapy. Laser treatment was found to have fewer adverse effects and sequelae; however, performing adequate laser surgery requires an understanding of laser principles and familiarity with the handling of instruments via a colposcope. The CO2 laser can also be delivered with a handheld instrument after colposcopic examination and application of Lugol solution to identify the areas with the lesion. Laser vaporization with a handheld instrument is less precise than colposcopy with a micromanipulator.

 

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