Short‐term results of rotoresection for benign prostatic hyperplasia: a prospective study of safety and efficacy

Abstract

of >1.8 mg/mL were excluded. The adenoma was resected using the Rotoresect® system (Karl Storz, Tuttlingen, Germany); the mean ( SD ) operative duration was 45.2 (9.9) min. The catheter was removed after 1.97 (0.3) days and patients assessed at 1, 3 and 6 months after surgery by an AUA score, Q max , blood haemoglobin level, urine analysis and transrectal ultrasonography; all patients but two completed the follow-up. RESULTSAt 6 months the mean ( SD ) AUA score decreased from 20.5 (3.8) to 1.6 (1.3), the Q max increased from 8.7 (2) to 25.3 (12.6) mL/s, and the total prostate volume decreased from 36.5 (13) to 20.5 (7.8) mL. The mean initial haemoglobin level was 138 (10) g/L and at 1 month was 135 (12) g/L. No patient required a blood transfusion or had signs of transurethral resection syndrome. Early complications included UTI and mild stress incontinence in 10 and 11 patients, respectively. At 6 months these patients had sterile urine and were continent. Two patients had a urethral stricture and posterior urethral stone at 6 months and were treated successfully. CONCLUSIONIn the short-term, rotoresection is a safe and effective method for treating BPH; there was no significant blood loss or resection syndrome. The hospital stay was short, with excellent functional results.

A 2‐year follow‐up after rotoresection of the prostate: a prospective study

“…The patients assessed were those reported previously [3]; they were aged 50–80 years, with an AUA‐7 symptom index of ≥ 13, a maximum urinary flow rate (Q max ) of ≤12 mL/s with a voided volume of ≥ 125 mL, a prostatic length determined on cystoscopy of 3–5 cm, a prostate volume of 20–80 mL, and a PSA level of <4 ng/mL, or 4–10 ng/mL with a negative prostate biopsy. All patients gave informed written consent.…”

“…The Rotoresect TM (Karl Storz, Tuttlingen, Germany) system is a modification of the electrovaporization method, that combines rotation of a specially designed electrode with high‐frequency current, and initial clinical results with this system were promising. The present report evaluated the durability of the previously reported success [3].…”

Transurethrale Resektion bei benigner Prostatahyperplasie

“…Ne ben ei ner ho hen Ener gieleis tung von 180-220 W [15,16,17,24] sind der zeit noch un zu rei chen de kli ni sche Er fah rungen und Lang zei t er geb nis se an zu mer ken. Da rü ber hi naus er for dert das Ver fah ren eine Um stel lung der Re sek ti ons tech nik und so mit einen Lern pro zess für den Opera teur.…”