He gets a dry, hacking cough as the dead tissue sloughs
away, and dies the following summer of pneumonia, wondering what it's all about.
Because the procedure vaporizes prostate tissue (in contrast to transurethral laser or microwave prostatectomy), there is no basis for advising the patient that tissue slough
should be expected following treatment.
The coagulated tissue sloughs
off over one to two weeks and multiple treatments are needed for optimal results.
Many times, obstructed labor leads to fistulas; the pressure of the fetal head on the vaginal wall causes tissue necrosis, and fistulas develop between the vagina and the bladder or rectum after the necrotic tissue sloughs
Then, the new vessels rupture and the support tissue sloughs
off in menstrual flow.