A Prospective, Randomized Trial Comparing Conventional Transurethral Prostate Resection With PlasmaKinetic® Vaporization of the Prostate: Physiological Changes, Early Complications and Long-Term Followup

Hon, Nicola H.Y.; Brathwaite, D.; Hussain, Zubair; Ghiblawi, S.; Brace, H.; Hayne, Dickon; Coppinger, S.W.V.

doi:10.1016/s0022-5347(06)00492-7

Cited by 64 publications

(62 citation statements)

References 18 publications

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“…2,7 Reports from randomized trials comparing outcomes between monopolar and bipolar TURP, failed to observe higher rates of stricture formation with the bipolar devices. 8,11,12 Our mean length of hospital stay although not significantly different between groups (1.091 [range: 0-72 hours] vs. 1.0 days [range: 0-48 hours] for bipolar and monopolar, Transurethral resection of the prostate respectively), compares favourably to other reported series. 2 There was no difference in the length of indwelling catheter time among groups.…”

Section: Discussionsupporting

confidence: 69%

A multicentre single-blind randomized controlled trial comparing bipolar and monopolar transurethral resection of the prostate

Méndez-Probst

Nott

Pautler

et al. 2011

cuaj

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Introduction: Monopolar transurethral resection of the prostate (TURP) is the gold standard surgical therapy for men with lower urinary tract symptoms due to benign prostatic hyperplasia. Although generally considered safer, TURP experience is limited in Canada. Methods: Forty-three patients from 5 Canadian centres were randomized to TURP with either bipolar or monopolar platforms. Patients underwent baseline determinations of American Urological Association (AUA) symptom score, peak urinary flow rate, postvoid residual bladder volume and transrectal ultrasound prostate volume. Primary outcome measures were improvement in AUA symptom score, quality of life assessment and bother assessment. Secondary outcomes included procedural times, duration of catheterization, length of hospitalization, complications and the degree of thermal artifact in tissue specimens. Patients were followed for 6 months. Results: Twenty-two patients were treated with bipolar and 21 with monopolar TURP. Preoperative demographics were not statistically different between groups. Postoperative data collection times were equivalent in AUA symptom, quality of life, bother and sexual function assessments. No differences were observed in the procedure time (60.7 min, bipolar vs. 47.4, monopolar) or the duration of urethral catheterization (1.5 days, bipolar vs. 1.1, monopolar). More patients in the bipolar group were discharged on the same day of surgery. There were no differences in the degree of tissue thermal artifact or complication rate. Conclusion: This trial suggests equivalent short-term outcomes for men undergoing monopolar or bipolar TURP.

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Section: Discussionsupporting

confidence: 69%

A multicentre single-blind randomized controlled trial comparing bipolar and monopolar transurethral resection of the prostate

Méndez-Probst

Nott

Pautler

et al. 2011

cuaj

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“…By 2007, the median number of years of experience in urology was 10 years (range [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Patients in both study arms were treated by the same surgeons.…”

Section: Discussionmentioning

confidence: 99%

Bipolar versus monopolar TURP: a prospective controlled study at two urology centers

Engeler

Schwab

Neyer³

et al. 2010

Prostate Cancer Prostatic Dis

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We compared bipolar and monopolar TURP in a prospective controlled study at two urology centers. The objective of the study was to establish whether there were differences between the two methods with regard to frequency of the transurethral resection (TUR) syndrome, amount of fluid absorbed during surgery, risk of hemorrhage, duration of postoperative catheterization and duration of hospitalization. The duration of surgery, improvement in maximum flow rate (Q-max), residual urine volume, International Prostate Symptom Score (IPSS) and Quality of Life (QoL) score were also compared. Overall, our study showed that there were no major differences between bipolar and monopolar TURP. During follow-up, the clinical efficacy of bipolar TURP has been maintained to the same degree as with the traditional method, with no significant differences for Q-max, IPSS and QoL scores after 1 year. Although the risk of developing TUR syndrome seemed to be smaller with bipolar resection (serum sodium change bipolar versus monopolar: þ 1.2 versus À0.1 mmol l À1 ), the bleeding tendency with both methods was the same (14.0 g l À1 hemoglobin loss after 1 day in both groups). On the basis of our findings, we think that the monopolar technique has still a place in TURP.

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“…1,2 Conventional transurethral resection of the prostate (TURP) still remains the gold standard for the surgical management of bladder outlet obstruction (BOO) caused by BPH, particularly in the patients with a prostate volume of <100 mL. 3,4 Nevertheless, significant complications remain associated with TURP and the general morbidity rate of TURP is 18% and the overall mortality rate ranges between 0.17% and 0.77%. 3,[5][6][7][8][9][10] Due to significant complication rates observed following TURP, several studies have evaluated the safety and efficacy of new surgical techniques to potentially minimize the risks of TURP to treat lower urinary tract symptoms (LUTS) resulting from BPH.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 Nevertheless, significant complications remain associated with TURP and the general morbidity rate of TURP is 18% and the overall mortality rate ranges between 0.17% and 0.77%. 3,[5][6][7][8][9][10] Due to significant complication rates observed following TURP, several studies have evaluated the safety and efficacy of new surgical techniques to potentially minimize the risks of TURP to treat lower urinary tract symptoms (LUTS) resulting from BPH. [1][2][3][4] Recent trials investigating for the optimal surgical treatment for BPH compare different modalities in terms of minimal invasiveness, postoperative complications, physiological changes and outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…3,[5][6][7][8][9][10] Due to significant complication rates observed following TURP, several studies have evaluated the safety and efficacy of new surgical techniques to potentially minimize the risks of TURP to treat lower urinary tract symptoms (LUTS) resulting from BPH. [1][2][3][4] Recent trials investigating for the optimal surgical treatment for BPH compare different modalities in terms of minimal invasiveness, postoperative complications, physiological changes and outcomes. [1][2][3][4] Bipolar TURP and BIVAP saline vaporization of the prostate are common minimally invasive surgical methods to treat BPH.…”

Section: Introductionmentioning

confidence: 99%

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A clinical study comparing BIVAP saline vaporization of the prostate with bipolar TURP: Early complications, physiological changes and postoperative follow-up outcomes

Aydoğdu

Karakose

Atesci

2014

CUAJ

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Cite as: Can Urol Assoc J 2014;8(7-8):e485-9. http://dx.doi.org/10.5489/cuaj.1772 Published online July 18, 2014. Abstract Introduction:We compare BIVAP saline vaporization of the prostate with bipolar transurethral resection of the prostate (TURP) in the treatment of benign prostatic hyperplasia. Methods: In total, we included 86 patients treated with BIVAP (n = 44) and bipolar TURP (n = 42). The inclusion criteria were maximum urinary flow rate (Qmax) ≤10 mL/s, International Prostate Symptom Score (IPSS) ≥16, and prostate volume measured with transrectal ultrasound scan between 30 and 80 mL. Serum electrolyte, hemoglobin, and hematocrit levels were determined preoperatively and postoperatively. All patients were evaluated at the postoperative first and third months and the IPSS score, post-void residual urinary volume (PVR), Qmax, and average urinary flow rate (Qave) were compared. Statistical analyses were performed using SPSS 16.0 program and statistical significance was set at p < 0.05. Results: Preoperative demographic characteristics were similar in the 2 groups. The mean operation time was significantly higher (p = 0.02) and hospitalization time was significantly lower (p = 0.04) in the BIVAP group when compared to the bipolar TURP group. There was no significant difference between 2 groups in terms of preoperative and postoperative serum electrolyte, hemoglobin and hematocrit levels. Postoperative complication rates were similar in the 2 groups. The only exception was the rate of severe dysuria, which was significantly higher in the BIVAP group. No statistical difference was noted between the groups in terms of postoperative follow-up results. Conclusion: Bipolar TURP is a safe and highly effective technique which can be used in the surgical treatment of benign prostatic obstruction with minimal side effects. BIVAP saline vaporization of the prostate seems to be a potential alternative to bipolar TURP with shorter hospitalization time.

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A Prospective, Randomized Trial Comparing Conventional Transurethral Prostate Resection With PlasmaKinetic® Vaporization of the Prostate: Physiological Changes, Early Complications and Long-Term Followup

Cited by 64 publications

References 18 publications

A multicentre single-blind randomized controlled trial comparing bipolar and monopolar transurethral resection of the prostate

A multicentre single-blind randomized controlled trial comparing bipolar and monopolar transurethral resection of the prostate

Bipolar versus monopolar TURP: a prospective controlled study at two urology centers

A clinical study comparing BIVAP saline vaporization of the prostate with bipolar TURP: Early complications, physiological changes and postoperative follow-up outcomes

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