A Prospective Randomized Study for Comparing Bipolar Plasmakinetic Resection of the Prostate with Standard TURP
- 1 February 2006
- journal article
- research article
- Published by S. Karger AG in Urologia Internationalis
- Vol. 76 (2), 139-143
- https://doi.org/10.1159/000090877
Abstract
To compare clinical results of plasmakinetic (PK) resection vs. standard monopolar resection of the prostate, i.e. transurethral resection of the prostate (TURP). 48 patients were included in this study between January 2003 and October 2003. They were randomized into two groups (TURP:PK) with a ratio of 1:1. PK resections (n = 24) were carried out by using PlasmaKinetic Tissue Management System (Gyrus Medical Ltd, Cardiff, UK) and PlasmaSect electrodes. TURPs (n = 24) were done by using a 26-Fr continuous-flow resectoscope and Karl Storz 27040 electrodes. Patients were assessed for safety and efficacy by measuring the IPSS and maximum flow rates at 1, 3, 6 and 12 months and residual urine measurement at 3, 6 and 12 months and transrectal ultrasonography at 6 months. The patients' ages ranged from 50 to 82 (mean 64 +/- 10) years. Groups were similar for operation time, bleeding score, resected tissue, catheterization time and irrigated volume. Mean serum Na levels at the end of the operation were 141.7 +/- 5.1 in the TURP group and 145.2 +/- 4.4 in the PK group (p = 0.013). The IPSS, QOL score and Q(max) had improved significantly in the postoperative period without any differences in either group. The main advantage of PK resection seems to be decreasing the risk of TUR syndrome, thus, larger prostates could be treated without a time limitation, theoretically. However, this technique brings no advantages in terms of intra- and postoperative bleeding, hospital stay, operation time and late complications.Keywords
This publication has 14 references indexed in Scilit:
- METASTATIC BREAST CARCINOMA TO THE BLADDER: 5-YEAR FOLLOWUPJournal of Urology, 2001
- TRANSURETHRAL WATER-INDUCED THERMOTHERAPY FOR THE TREATMENT OF BENIGN PROSTATIC HYPERPLASIA: A PROSPECTIVE MULTICENTER CLINICAL TRIALJournal of Urology, 2000
- PROSTATE SPECIFIC ANTIGEN RESPONSE TO MITOXANTRONE AND PREDNISONE IN PATIENTS WITH REFRACTORY PROSTATE CANCER: PROGNOSTIC FACTORS AND GENERALIZABILITY OF A MULTICENTER TRIAL TO CLINICAL PRACTICEJournal of Urology, 2000
- A Prospective Randomized Study of Transurethral Resection of the Prostate and Transurethral Vaporization of the Prostate as a Therapeutic Alternative in the Management of Men with BPHEuropean Urology, 1998
- Laser prostatectomyCurrent Opinion in Urology, 1997
- Upcoming MeetingsJournal of Endourology, 1996
- Transurethral needle ablation of the prostate for treatment of benign prostatic hyperplasia: Early clinical experienceUrology, 1995
- High Intensity Focused Ultrasound for the Treatment of Benign Prostatic Hyperplasia: Early United States Clinical ExperienceJournal of Urology, 1994
- Transurethral Prostatectomy: Immediate and Postoperative Complications. A Cooperative Study of 13 Participating Institutions Evaluating 3,885 PatientsJournal of Urology, 1989
- Ventricular fibrillation associated with use of electrocautery. A case reportJAMA, 1974