Bipolar plasmakinetic vaporization versus the standard monopolar transurethral resection of the prostate for management of benign prostate hyperplasia : long term follow-up of a randomized controlled study

Joint Authors

Shalaby, Essam
Abd al-Qadir, Usman
Ghubish, Ammar
Sakr, Ahmad Haydar

Source

Suez Canal University Medical Journal

Issue

Vol. 23, Issue 1 (30 Jun. 2020), pp.71-80, 10 p.

Publisher

Suez Canal University Faculty of Medicine

Publication Date

2020-06-30

Country of Publication

Egypt

No. of Pages

10

Main Topic

Medicine

Topics

Abstract EN

Background : Monopolar Transurethral resection of the prostate (TURP) has dominated the surgical treatment of lower urinary tract symptoms (LUTS) due to BPH with relatively high TUR associated morbidity.

Due to advanced technology, spurred the development of new surgical alternatives as plasmakinetic vaporization of the prostate to overcome the TURP related morbidity.

Aim: To compare the outcomes of bipolar plasmakinetic vaporization of the prostate (PKVP) in saline with the standard monopolar TURP in-patients with bothersome LUTS.

Patients and Methods : Two hundred and six patients with bothering LUTS were randomly divided into two groups, PKVP (GI) or TURP (GII).

Patients demographics and preoperative data were compared, including prostate volume, international prostate symptoms score (IPSS), quality of life (QOL), maximum flow rate (Qmax), post voiding residual volume (PVR), prostate-specific antigen (PSA).

Postoperative adverse events and long-term reoperation rates were also compared.

Results: Preoperatively, both groups were comparable in demographic data, prostate volume, IPSS, Qmax, and PVR.

Both groups showed comparative functional improvement in IPSS, QOL, Qmax, and PVR.

Compared to GII patients, GI patients had a significantly lower operative time (62.3±17 vs.

68.6±20 min, p < /em>=0.03), catheterization time (3.4±1.3 vs.

4.5±1.4 d), and hospital stay (2.7±1.1 vs 3.3±1.3 d).

Reduction in hemoglobin and serum sodium was significantly higher in GII patients.

Clot retention occurs in 3.4% in G1 vs.

7.7% in G2 while blood transfusion needed for 8.9% of patients in GII.

After a 36-month follow-up, 10.5% and 7.7% of patients needed reoperation in GI and GII, respectively (p>0.05).

Conclusion: Long-term results revealed comparable safety and efficacy of PKVP and monopolar TURP in the management of bothersome LUTS secondary to BPH.

However, PKVP seems to have lower perioperative morbidity (i.e.

reduced blood loss, shorter catheterization time, shorter hospital stay, comparable reoperation rate, and better alternative to monopolar TURP.

American Psychological Association (APA)

Shalaby, Essam& Abd al-Qadir, Usman& Ghubish, Ammar& Sakr, Ahmad Haydar. 2020. Bipolar plasmakinetic vaporization versus the standard monopolar transurethral resection of the prostate for management of benign prostate hyperplasia : long term follow-up of a randomized controlled study. Suez Canal University Medical Journal،Vol. 23, no. 1, pp.71-80.
https://search.emarefa.net/detail/BIM-980535

Modern Language Association (MLA)

Shalaby, Essam…[et al.]. Bipolar plasmakinetic vaporization versus the standard monopolar transurethral resection of the prostate for management of benign prostate hyperplasia : long term follow-up of a randomized controlled study. Suez Canal University Medical Journal Vol. 23, no. 1 (2020), pp.71-80.
https://search.emarefa.net/detail/BIM-980535

American Medical Association (AMA)

Shalaby, Essam& Abd al-Qadir, Usman& Ghubish, Ammar& Sakr, Ahmad Haydar. Bipolar plasmakinetic vaporization versus the standard monopolar transurethral resection of the prostate for management of benign prostate hyperplasia : long term follow-up of a randomized controlled study. Suez Canal University Medical Journal. 2020. Vol. 23, no. 1, pp.71-80.
https://search.emarefa.net/detail/BIM-980535

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 79-80

Record ID

BIM-980535