Finkelstein, 1990 and 1991
Title: Epilation of hair-bearing urethral grafts utilizing the neodymium:YAG surgical laser.
Authors: Finkelstein LH, Blatstein LM
Journal: Lasers Surg Med 1990;10(2):189-93
PMID: 2333005, UI: 90238345
Affiliated institution: Division of Urology, Osteopathic Medical Center of Philadelphia, PA 19131.
See also: J Urol 1991 Sep;146(3):840-2 PMID: 1875507, UI: 91341922
Nonhair-bearing skin should be used when grafting is necessary during urethroplasty for stricture or hypospadias repair. Occasionally, this is not possible or hair-bearing skin is used inadvertently. Traditionally, electrocoagulation has been the method used for epilation when intraluminal hair has become a problem, such as interfering with flow, as a focus for recurrent urinary tract infection or acting as a nidus for calculus formation. Electrocautery also is performed during grafting in an attempt to prevent the growth of hair when hair-bearing skin is used. Unfortunately, due to lack of penetration the hair follicles are not destroyed and the epilating procedure fails or is only partially successful. The neodymium:YAG surgical laser can photocoagulate tissue to a depth up to 5.0 mm, and thus, has the ability to destroy hair follicles. We report 4 cases presenting with clinical problems directly related to hair-bearing urethral grafts successfully treated by neodymium:YAG laser epilation.