2179 AIM OF STUDY WAS TO COMPARE PLASMA KINETIC (PK) TRANSURETHRAL RESECTION OF PROSTATE

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy and New Technology III1 Apr 20122179 AIM OF STUDY WAS TO COMPARE PLASMA KINETIC (PK) TRANSURETHRAL RESECTION OF PROSTATE Suresh Patankar Suresh PatankarSuresh Patankar Pune, India More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2352AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Aim of study was to compare bipolar Plasma Kinetic with standard monopolar TURP in terms of catheter time, hospital stay, operating time, blood loss, complications, urinary flow rates and symptom relief, quality of life and International Index of Erectile Function.(IIEF-5) , in large number of patients with 5 years follow up. METHODS A total of 512 patients were randomized to either TURP or PK resection of prostate between January 2004 to December 2005 . All of them were evaluated by detail medical history, physical examination , blood analysis, PSA, urinanalysis and culture, AUA Symptom Score, 3D-TRUS measurement of prostate volume , Omax, IIEF-5 and Quality of Life score. TURP was carried out using a 26 F resectoscope and a single wire loop for resection . Glycine was used as irrigation fluid. For the PK Superpulse system, the dedicated resectoscope was used, and normal saline was used as the irrigation fluid. RESULTS Both groups were comparable in all preoperative parameters. 501 patients had completed 5 years follow-up: 255 (of 261) in the PK group and 246(of 251)in the conventional TURP group. The blood loss observed in PK Superpulse arm (178.62±48.47mL) was significantly less than after conventional TURP (351.56±91.52) (P<0.01). The catheter time in patients operated on PK superpulse was 25.56±7.89 hours, less then that in the conventional TURP arm (40.37±10.48 hours) (P< 0.001). The operative time was less in PK group (74.74±12.34 vs 77±13.80 min, p=0.02). Both procedures resulted in statistically significant improvements in AUA symptom score, Qmax , Quality of life at each postoperative assessment compared with baseline values. All parameters did not differ significantly between the groups at any time. The Hematuria, Clot retension ,Blood transfusion and clinical TUR syndrome, Hyponatremia were statistically less in PK group while no statically difference noted in Capsular perforation ,Urinary tract infection , Urethral stricture and Bladder neck contracture. CONCLUSIONS PK is safe and highly effective technique for relief of BOO which is associated with low rate of side effects.The clinical efficacy of PK is durable and compares favorably with TURP in the mid –term. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e878-e879 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Suresh Patankar Pune, India More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...