1965 THREE-YEAR PROSPECTIVE, RANDOMIZED COMPARISON OF THE BIPOLAR PLASMA VAPORIZATION OF THE PROSTATE, MONOPOLAR AND BIPOLAR RESECTION IN MEDIUM SIZE BPH PATIENTS

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy and New Technology (I)1 Apr 20131965 THREE-YEAR PROSPECTIVE, RANDOMIZED COMPARISON OF THE BIPOLAR PLASMA VAPORIZATION OF THE PROSTATE, MONOPOLAR AND BIPOLAR RESECTION IN MEDIUM SIZE BPH PATIENTS Bogdan Geavlete, Razvan Multescu, Georgescu Dragos, Florin Stanescu, Marian Jecu, Cristian Moldoveanu, and Petrisor Geavlete Bogdan GeavleteBogdan Geavlete Bucharest, Romania More articles by this author , Razvan MultescuRazvan Multescu Bucharest, Romania More articles by this author , Georgescu DragosGeorgescu Dragos Bucharest, Romania More articles by this author , Florin StanescuFlorin Stanescu Bucharest, Romania More articles by this author , Marian JecuMarian Jecu Bucharest, Romania More articles by this author , Cristian MoldoveanuCristian Moldoveanu Bucharest, Romania More articles by this author , and Petrisor GeavletePetrisor Geavlete Bucharest, Romania More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2384AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES A prospective, long term, randomized trial was performed aiming to compare the bipolar plasma vaporization of the prostate (BPVP), the bipolar transurethral resection in saline (TURis) and the monopolar transurethral resection of the prostate (TURP) concerning the surgical efficacy, complication rate and follow-up results. METHODS A total of 510 benign prostatic hyperplasia (BPH) patients with prostate volume between 30 and 80 mL, maximum flow rate (Qmax) below 10 mL/s and International Prostate Symptom Score (IPSS) over 19 were included in the trial. All cases were evaluated preoperatively as well as at 6 months' intervals after surgery by IPSS, Qmax, quality of life score (QoL), post-voiding residual urinary volume (PVR), postoperative prostate volume and PSA level. RESULTS The mean operation time (39.7 versus 52.1 and 55.6 minutes), catheterization period (23.5 versus 46.3 and 72.8 hours) and hospital stay (1.9 versus 3.1 and 4.2 days) were significantly shorter for BPVP patients. The mean hemoglobin drop (0.5 versus 1.2 and 1.6 g/dL), intraoperative bleeding (1.8% versus 8.2% and 13.5%) and capsular perforation (1.2% versus 7.1% and 9.4%) rates were significantly reduced in the BPVP series. The rate of early irritative symptoms was statistically similar in the 3 study arms (12.4% versus 11.2% and 10.6%, respectively). In the BPVP and TURis groups, significantly lower postoperative hematuria (2.9% and 4.7% versus 15.3%) and blood transfusion (1.2% and 1.8% versus 6.5%) rates were determined. During the long term follow-up, BPVP patients emphasized significantly superior parameters concerning IPSS and Qmax. On the other hand, the three-year evaluation protocol described statistically similar QoL score, PVR values, PSA level and the postoperative prostate volume in the 3 series of patients. CONCLUSIONS BPVP displayed superior surgical efficacy, reduced perioperative morbidity and faster postoperative recovery when compared to TURis and TURP. During the long term follow-up, the method provided significantly improved parameters regarding the symptom scores and voiding characteristics and similar BPH tissue removal capabilities. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e806-e807 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Bogdan Geavlete Bucharest, Romania More articles by this author Razvan Multescu Bucharest, Romania More articles by this author Georgescu Dragos Bucharest, Romania More articles by this author Florin Stanescu Bucharest, Romania More articles by this author Marian Jecu Bucharest, Romania More articles by this author Cristian Moldoveanu Bucharest, Romania More articles by this author Petrisor Geavlete Bucharest, Romania More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...