In 1976, a prototype laser cystoscope was developed. This prototype instrument was attached to the flexible boom arm of a Cooper 300/0 laser.* The laser beam was directed out through a germanium lens onto a 45 degree nickel plated copper mirror. The mirror was housed in the body of the cystoscope and could be adjusted to directly reflect the laser beam. In order to maintain constant visual surveillance, a fiber optic 0 degree bundle was situated below the path of the beam. Because water dissipates the energy of the CO2 laser, cystoscopy has to be carried out in a CO2 gas medium. Intake and output ports were incorporated into the cystoscope. The CO2 gas enters through the intake valve while excess gas and vaporized tissue are exhausted out through the exit port. The entire apparatus was housed in a 26 French panendoscope.(Fig. 1)

1.
Willscher
,
M.K.
,
Filoso
,
A.M.
,
Jako
,
G.J.
,
Olsson
,
C.A.
:
Development of a carbon dioxide laser cystoscope
.
J. Urol.
,
119
:
202
,
1978
.
This content is only available via PDF.
You do not currently have access to this content.