Bipolar Plasma Vaporization vs Monopolar and Bipolar TURP–A Prospective, Randomized, Long-term Comparison

Geavlete, B.; Georgescu, D.; Multescu, R.; Stanescu, F.; Jecu, M.; Geavlete, P.

doi:10.1016/j.urology.2011.03.072

Cited by 84 publications

(120 citation statements)

References 29 publications

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“…Geavlete et al (6) evaluated long-term complications of monopolar TURP, bipolar TURP and photoselective vaporization of the prostate (PVP) in a prospective, randomized trial. Each study arm had 170 cases.…”

Section: Stricture After Transurethral Prostate Resectionmentioning

confidence: 99%

Urethral Stricture is an Unpleasant Complication after Prostate Surgery: A Critical Review of Current Literature

Söğütdelen¹,

Haberal²,

Guliyev³

et al. 2016

jus

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Prostatectomy is one of the main causes of surgery in aging male population. Besides traditional techniques, novel minimally invasive approaches may also end up with certain complications following prostate surgery. Transurethral procedures may cause iatrogenic urethral trauma. Factors that may influence the development of iatrogenic endoscopic urethral strictures include "electrical dispersion" generated by unipolar current and the "diameter of the instruments" used. Those complications not only bother quality of life of the patients but also may cause various adjunctive procedures with an economical impact.Urethral stricture is the abnormal narrowing of any segment of the urethra surrounded by corpus spongiosum. It specifically means varying degrees of spongiofibrosis that refers to scarring of the corpus spongiosum (1). Any inflammation of the urethra can result in scarring that can lead to a stricture or a narrowing of the urethra. Besides prostate surgery, trauma, infections, tumors or any other cause of scarring may trigger urethral stricture (2). A recent metaanalysis including 732 patients showed that idiopathic and iatrogenic etiologies were by far the most common, accounting for 33% and 33% of all cases, respectively. Inflammatory and posttraumatic etiologies were found in only 15% and 19% of patients, respectively (3).Here, we tried to review the incidence and the basic risk factors that cause urethral stricture following prostate surgery. ÖZÜretral striktür enflamasyona bağlı olarak skarlaşma sonrası üretradaki daralmadır. Elli yaş üzeri erkeklerde benign ve malign hastalıklara bağlı olarak yapılan prostatektomiler oldukça yaygın olarak uygulanmaktadır. Prostatın transüretral rezeksiyonu sonrası farklı serilerde %19'a kadar çıkan oranlarda üretral darlık ve mesane boynu kontraksiyonu görülmektedir. Lazer prostatektomi sonrası üretral darlık prostatın transüretral rezeksiyonuna oranla daha az olarak görülmektedir, yaklaşık olarak %3,6 oranındadır. Açık prostatektomi en eski yöntem olmasına rağmen büyük prostat boyutlu hastalarda oldukça mantıklı bir alternatiftir. Açık prostatektomi sonrası yaklaşık olarak %1,9-4,8 oranında darlık bildirilmiştir. Radikal prostatektomi (RP) lokalize prostat kanseri tedavisinde bütün dünyada en yaygın olarak uygulanan yöntemdir. RP sonrası anastomoz seviyesinde mesane boynu kontraksiyonu olması iyi bilinen bir komplikasyondur ve yaklaşık olarak hastaların %0,4-32'sinde görülmektedir. Darlık büyük oranda endoskopik yöntemlerle tedavi edilmektedir, nadiren komplike olgularda bukkal mukoza greftli üretroplasti gerekebilmektedir. Anahtar Kelimeler: Üretral darlık, prostat cerrahisi, transüretral rezeksiyon, açık prostatektomi, radikal prostatektomi ABSTRACTUrethral stricture is narrowing of the urethra due to inflammation that results in scarring. Prostatectomies for benign and malign prostatic diseases are common surgical procedures among men mainly after their fifties. Urethral stricture or bladder neck contraction following transurethral resection of the prostate (TURP)...

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Section: Stricture After Transurethral Prostate Resectionmentioning

confidence: 99%

Urethral Stricture is an Unpleasant Complication after Prostate Surgery: A Critical Review of Current Literature

Söğütdelen¹,

Haberal²,

Guliyev³

et al. 2016

jus

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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%.…”

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%

“…[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. Bipolar TURP can permit a longer resection time and provide improved hemostasis, thus enabling the clinician to operate larger prostates effectively without compromising safety.…”

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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“…Moreover, these techniques were thought to completely prevent influx of irrigation fluid into the vascular system due to their excellent coagulation properties [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

1084 Is absorption of irrigation fluid a problem in thulium laser vaporization of the prostate? A prospective investigation using the expired breath ethanol test

Schwab¹,

Müllhaupt²,

Mordasini³

et al. 2016

European Urology Supplements

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Bipolar Plasma Vaporization vs Monopolar and Bipolar TURP–A Prospective, Randomized, Long-term Comparison

Cited by 84 publications

References 29 publications

Urethral Stricture is an Unpleasant Complication after Prostate Surgery: A Critical Review of Current Literature

Urethral Stricture is an Unpleasant Complication after Prostate Surgery: A Critical Review of Current Literature

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

1084 Is absorption of irrigation fluid a problem in thulium laser vaporization of the prostate? A prospective investigation using the expired breath ethanol test

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