Transurethral electrovaporization and vapour‐resection of the prostate: an appraisal of possible electrosurgical alternatives to regular loop resection

Patel, Anup; Fuchs, Gerhard; Gutiérrez-Aceves, Jorge; Andrade-peréz, F.

doi:10.1046/j.1464-410x.2000.00463.x

Cited by 30 publications

(14 citation statements)

References 33 publications

(44 reference statements)

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“…The bipolar electrosurgical equipment simultaneously vaporizes tissue during resection, which controls bleeding as it effectively and accurately seals all bleeding points 8101415. The plasmakinetic system, however, uses a smaller loop compared with the conventional TURP, which requires more strokes for every unit volume of prostate resected 916–18. This explains the insignificant operative time difference between the two groups despite the advantage of better hemostasis 91718…”

Section: Discussionmentioning

confidence: 99%

A Prospective, Randomized Clinical Trial Comparing Bipolar Plasma Kinetic Resection of the Prostate Versus Conventional Monopolar Transurethral Resection of the Prostate in the Treatment of Benign Prostatic Hyperplasia

2009

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Section: Discussionmentioning

confidence: 99%

A Prospective, Randomized Clinical Trial Comparing Bipolar Plasma Kinetic Resection of the Prostate Versus Conventional Monopolar Transurethral Resection of the Prostate in the Treatment of Benign Prostatic Hyperplasia

2009

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Section: Discussionmentioning

confidence: 99%

A prospective, randomized clinical trial comparing bipolar plasma kinetic resection of the prostate versus conventional monopolar transurethral resection of the prostate in the treatment of benign prostatic hyperplasia

Ibrahim

Zainuddin

2009

Annals of Saudi Medicine

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BACKGROUND AND OBJECTIVE:For treatment of benign prostatic hyperplasia (BPH), Plasma Kinetic loop Resection of the Prostate (PKRP) is an alternative to conventional monopolar transurethral resection of prostate (TURP). We compared outcomes with the two treatments in a randomized trial.PATIENTS AND METHODS:Over a one-year period, we randomly assigned patients with an indication for surgery for BPH and who met inclusion criteria to treatment with either PKRP or TURP. We measured prostate volume by transrectal ultrasound, relief of bladder outlet obstruction, operative time, decline in serum sodium and hemoglobin, weight of resected prostatic chips, duration of catheterization and hospital stay. Patients were evaluated one month after discharge for obstructive symptoms. Complications were also recorded.RESULTS:Of 102 patients enrolled, 51 underwent PKRP and 51 underwent TURP. Relief of obstructive symptoms and mean operative time showed no statistically significant difference. The PKRP group had a smaller decline in hemoglobin than the TURP group (0.6 g/dL vs 1.8 g/dL, P=.01), a lower reduction in serum sodium levels (1.03 mmol/L vs 5.01 mmol/L, P=.01), a shorter catheterization time (37.2 hours versus 57.7 hours, P=.03) and a shorter hospital stay (1.5 days versus 2.6 days, P=.02). One patient in the bipolar PKRP group needed recatheterization versus four patients in the TURP group.CONCLUSION:PKRP reduces morbidity with an outcome similar to conventional monopolar TURP in the treatment of BPH.

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“…TUVRP was developed from transurethral vaporization (TVP) and theorectically combines the advantages of electrovaporization and standard TURP thus potentially ‘adding gold to the gold standard’ [5]. In comparison to TVP, TUVRP has three distinct advantages: it is definitely not as slow as TVP, it can be applied to large prostates and it removes tissue for conventional histology.…”

Section: Discussionmentioning

confidence: 99%

“…Electrovaporization combines the vaporizing (cutting) and the desiccating (coagulating) effect by employing electrodes of various shapes with larger tissue–contact points and higher cutting currents. The power density of the energy applied regulates whether the tissue is predominantly desiccated, carbonized or vaporized [for a review, see 5]. …”

Section: Introductionmentioning

confidence: 99%

Is Transurethral Vaporesection of the Prostate Better Than Standard Transurethral Resection?

et al. 2001

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Transurethral electrovaporization and vapour‐resection of the prostate: an appraisal of possible electrosurgical alternatives to regular loop resection

Cited by 30 publications

References 33 publications

A Prospective, Randomized Clinical Trial Comparing Bipolar Plasma Kinetic Resection of the Prostate Versus Conventional Monopolar Transurethral Resection of the Prostate in the Treatment of Benign Prostatic Hyperplasia

A Prospective, Randomized Clinical Trial Comparing Bipolar Plasma Kinetic Resection of the Prostate Versus Conventional Monopolar Transurethral Resection of the Prostate in the Treatment of Benign Prostatic Hyperplasia

A prospective, randomized clinical trial comparing bipolar plasma kinetic resection of the prostate versus conventional monopolar transurethral resection of the prostate in the treatment of benign prostatic hyperplasia

Is Transurethral Vaporesection of the Prostate Better Than Standard Transurethral Resection?

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