Recent improvements in transurethral high‐frequency electrosurgery of the prostate

Alschibaja, M.; Maÿ, F.; Treiber, Uwe; Paul, R.; Härtung, R.

doi:10.1111/j.1464-410x.2006.05872.x

Cited by 31 publications

(13 citation statements)

References 25 publications

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“…These can be correlated with the introduction of automatically controlled HF generators in our department 18 and the introduction of HF generators using the dry-cut mode (ERBE Elektromedizin GmbH, Tübingen, Germany). 19 The observed rate of transfusions even in the later group of our series is slightly higher than that in other big series ( 3,4,20 which have been as high as 35%.…”

Section: Discussioncontrasting

confidence: 63%

Improvement in Mortality and Morbidity in Transurethral Resection of the Prostate over 17 Years in a Single Center

Wendt‐Nordahl

Bucher

Häcker

et al. 2007

Journal of Endourology

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Section: Discussioncontrasting

confidence: 63%

Improvement in Mortality and Morbidity in Transurethral Resection of the Prostate over 17 Years in a Single Center

Wendt‐Nordahl

Bucher

Häcker

et al. 2007

Journal of Endourology

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“…Bipolar TURP offered functional outcomes comparable with monopolar TURP, as well as the benefits of decreased overall complication rates and improved hemostasis. 1,16 Bipolar TURP and electrovaporization techniques may provide significant improvement in intraoperative visibility secondary to reduced bleeding and a more detailed visual differentiation of the adenomatous tissue and prostatic capsule. 1,16 Bipolar TURP and BIVAP saline vaporization of the prostate are frequently performed at our clinic for the surgical treatment of BPH and we rarely use monopolar TURP.…”

Section: Discussionmentioning

confidence: 99%

“…1,16 Bipolar TURP and electrovaporization techniques may provide significant improvement in intraoperative visibility secondary to reduced bleeding and a more detailed visual differentiation of the adenomatous tissue and prostatic capsule. 1,16 Bipolar TURP and BIVAP saline vaporization of the prostate are frequently performed at our clinic for the surgical treatment of BPH and we rarely use monopolar TURP. In our experience, both techniques provide a satisfactory prostatic fossa and a particularly smooth surface without any irregularities at the end of the procedure.…”

Section: Discussionmentioning

confidence: 99%

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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“…There are 2 available designs on the market: braided-tip (Plasma-Cut) for finer fibrous tissue and spring-tip (Plasma-Cise™) for more dense fibrous tissue removal. The main difference between the PlasmaKinetic and cold knife urethrotomies is not only incision of the fibrous tissue but also evaporation, so that the recurrence of fibrotic tissue can be decreased [11,12,13,14]. In our study, the mean recurrence rate of the cold knife group (30%) was statistically higher than the PlasmaKinetic group (14%) at the end of 9th month (p < 0.05).…”

Section: Discussionmentioning

confidence: 56%

PlasmaKinetic™ versus Cold Knife Internal Urethrotomy in Terms of Recurrence Rates: A Prospective Randomized Study

Çeçen

Karadağ²,

Demir³

et al. 2014

Urol Int

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Objective: To evaluate the efficacy and outcomes of PlasmaKinetic™ urethrotomy against cold knife direct vision internal urethrotomy in terms of recurrence rates. Patients and Methods: A total of 136 male patients with urethral strictures were enrolled into the study. The patients were allocated to cold knife or PlasmaKinetic urethrotomy groups sequentially by using computer-generated numbers. Group A (PlasmaKinetic) and group B (cold knife) included 70 and 66 patients, respectively. All patients were reevaluated at the 3rd, 9th and 18th month postoperatively with uroflowmetry. Results: Group A patients had a postoperative 3rd-month maximum flow rate value of 16.09 ml/s, whereas this same parameter was 15.15 ml/s in group B (p < 0.05). The urethral stricture recurrence rate up to the 9-month period was statistically significant for group A (14%) compared with group B (30%). When we compared the recurrence rates of these groups from postoperative day 1 up to the 18th month, the results were 37% for group A and 33% for group B (p > 0.05). Conclusion: PlasmaKinetic urethrotomy provides a better recurrence-free rate during the early period compared with conventional cold knife therapy. Nevertheless, the outcome of the stricture did not change and fibrotic tissue reformed between the 9th and the 18th month.

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Recent improvements in transurethral high‐frequency electrosurgery of the prostate

Cited by 31 publications

References 25 publications

Improvement in Mortality and Morbidity in Transurethral Resection of the Prostate over 17 Years in a Single Center

Improvement in Mortality and Morbidity in Transurethral Resection of the Prostate over 17 Years in a Single Center

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

PlasmaKinetic™ versus Cold Knife Internal Urethrotomy in Terms of Recurrence Rates: A Prospective Randomized Study

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