Kind Of Surgical Intervention Research Articles

Late Outcomes of Undiagnosed Unilateral Condylar Hyperplasia and Reoccurrence of Mandibular Asymmetry.

Unilateral condylar hyperplasia (UCH) is a rare cause of asymmetrical mandibular overgrowth because of the presence of an atypical growth in the affected condyle. SPECT (single-photon emission computed tomography) can easily establish the presence of an atypical, prolonged growth exceeding far beyond normal condylar growth and activity. A CT, CBCT, or LDCT (computed tomography, cone-beam computed tomography, or low-dose computed tomography) can confirm the diagnosis by evaluating the scope of bone overgrowth, mandibular basis/ramus asymmetry, tendency to condylar head enlargement, changes in bone density, and occurrence of differences in condylar head shapes, size, and bone structure. In most cases, a condylectomy is the procedure of choice in growing cases of UCH to remove the pathological condyle and reduce asymmetry levels. Sometimes, the growth is very slow and progressive over time, causing slowly growing asymmetry with similar symptoms to any other mandibular asymmetry, and this causes some troublesome procedures in UCH diagnostics, resulting in patients being underdiagnosed; it can even lead to some relapses in mandibular asymmetry and skeletal malocclusion after previously performed orthodontic and surgical treatment of such discrepancies. When the source of asymmetry is not identified in time, possible inadequate treatment protocols can be used. If any relapse of facial and mandibular asymmetry re-occur, SPECT and CT evaluation are necessary to evaluate if condylar hyperplasia is present and to establish what kind of surgical intervention should be used in each case.

Evaluation of Risk Factors in the Post-Anesthesia Care Unit of a Tertiary Care Hospital

Background: Surgery and anesthesia are safer nowadays than ever before, thanks to persevering with advances in science. But this doesn’t suggest there is zero risk. In fact, surgical treatment and anesthesia are inherently dangerous, and as with any medicine or procedure, there is constantly the chance that something can go wrong. Certain patients are greater probably to experience problems or issues and perchance even death than others due to the fact of their age, clinical conditions, or the kind of surgical treatment they’re having. If you’re planning to have surgery, there are approaches to decrease your risk, including meeting with your anesthesiologist. Objectives: The aim of this study is to assess the Evaluation of risk factors in the post-anesthesia care unit of a tertiary care hospital. Methods: This is an observational study. The study used to be carried out in the admitted patient’s department of anesthesiology, Monno Medical College and Hospital, Manikgonj, Bangladesh. The duration of the study period from July 2020 to June 2021. Results: This study shows that the according to age of 110 Patients aged 10 to 60 years. Here according to Age distribution, 11(10.0%) were <10, 5(4.54%) were 11 20, 21(19.09%) were 21-30, 22(20.0%) were 31-40, 37(33.64%) were 41-50, 8(7.27%) were 51- 60 and 6(5.45%) were >60. And according to gender 57(51.82%) were Male, 53(48.18%) were Female. Conclusions: Perioperative cardiovascular and respiratory damaging activities are the principal motives for extended remain in Post anesthesia care unit. Post anesthesia care unit as triggering elements for problems in the instant postoperative period: hypothermia, hypoxemia, pulmonary edema; apnea, tremors, nausea and vomiting; urinary retention, modifications in coronary heart rhythm.

Clear Cell Renal Cell Carcinoma Spinal Metastases: Which Factors Matter to the Overall Survival? A 10-Year Experience of a High-Volume Tumor Spine Center.

: BackgroundClear cell renal cell carcinoma (ccRCC) usually spreads in the spinal region causing instability or spinal cord compression leading to neurological deficits. Therefore, surgical treatment is required for improving the outcome of patients. The aim of this study is to identify which prognostic factors could affect overall survival in patients affected by ccRCC. Methods: Retrospective cohort study of patients with ccRCC spinal metastases, surgically treated from November 2009 to April 2019. Demographic and clinical data were collected. The Kaplan–Meier method was used to estimate overall survival, and the log-rank test was used to evaluate differences in survival among potentially prognostic factors. Results: A total of 69 patients were surgically treated and followed up for a median period of 65 months. The average age at the time of surgery was 62.6 years old. The median overall survival (OS) was 34.7 months (95% CI 20.8–51.9) and 5-year OS was 31.2% (95% CI 19.2–44.1). A high Tokuhashi score (p = 0.0217), the presence of visceral metastases (p < 0.001), other bone metastases (p = 0.02012) and the kind of surgical treatment (p = 0.0395) are the main prognostic factors that influence the OS. Moreover, 3-year progression-free survival (PFS) was analyzed: the median PFS was 53.1 months and the % 3-year PFS was 62.9% (45.2–76.3). In the multivariate analysis, only pre-operative radiation therapy had a significant impact on 3-year PFS (95% CI 0.929–12.994, p = 0.0643). Conclusion: The results of this study suggest that the absence of visceral metastases and an aggressive surgery as en-bloc, when feasible, could prolong the survival rate and improve quality of life for patients.

Neurophysiology and neuroanatomy of spinal cord electrode stimulation for the treatment of chronic pain – State of art

Among the various types of pain, such as nociceptive and nociplastic, the neuropathic pain is classified as a condition associated with damage to the somatosensory system, and is responsible for chronic painful experiences in affected patients. About 7–10% of the general population suffers from neuropathic pain, a condition that significantly reduces quality of life. There are various forms of intervention, being pharmacological approach a option that involves the use of antidepressants and anticonvulsivants. On the other hand, the use of neuroestimulation, a kind of surgical intervention also can be considered as an alternative. The use of medullary stimulation with electrodes has been applied to conditions refractory to medication, based on the neuroanatomical and neurophysiological principles of pain conduction in the dorsal horn of the spinal cord. This article aims to detail the mechanisms of pain generation and transmission, the participation of the endogenous descending pathway and, the functioning and application of the medullary electrode in chronic pain conditions.

A comparative study of rubber band ligation versus BANANA-Clip in grade 1 to 3 internal hemorrhoids.

Rubber band ligation (RBL) for grade 1 to 3 internal hemorrhoids is a well-established modality of choice. But RBL is also a kind of surgical treatment; it is not free from complications (e.g., delayed bleeding [DB], rectal stenosis). This study aimed to investigate the results of the comparative treatment of RBL and BANANA-Clip (BC; Endovision). Study participants were 632 consecutive patients with grade 1 to 3 internal hemorrhoids attended to Department of Colorectal Surgery at Wellness Hospital between January 2010 and May 2019. We retrospectively reviewed the incidence rate of complications, including DB between RBL and BC. There were 304 male and 328 female patients, whose ages ranged from 15 to 84 years, with a mean age of 45.7 years. The common symptom and cause of treatment was prolapse (70.1%). The number of ligated sites was 1.49±0.57 in the RBL group and 1.99±0.77 in the BC group. RBL showed a significantly higher incidence of DB (3.5%) compared to BC (0%) (P=0.001). The 1-year success rate was 95.9% in the RBL group and 99.7% in the BC group (P=0.005). In our study, BC was more reliable in treating grade 1 to 3 internal hemorrhoids with higher success rates and less post-ligation complications, especially DB, compared to RBL.

Patient-reported outcomes and complication rates after lateral maxillary sinus floor elevation: a prospective study

ObjectivesOral surgery morbidity is highly variable based on patients’ characteristics and kind of surgical intervention. However, poor data are available in the literature regarding patient outcomes after oral surgery. The aim of this retrospective study was to evaluate patient-reported outcome and complication rates after maxillary sinus floor elevation.Materials and methodsData from the records of patients undergoing maxillary sinus elevation have been collected from a private dental office. Patient-reported outcome has been assessed using a 100-mm visual analog scale to evaluate the post-operative pain (VASpain) experienced in the first week following surgery and visual rating scales to evaluate discomfort level (VRSdiscomfort: 0 to 4) and willingness to repeat the same surgical procedure (VRSwillingness: 0 to 3). Analgesics intake, swelling onset and duration, and ecchymosis have been also recorded.ResultsVASpain showed moderate values in the first 2 days (< 50) post-surgery, with a tendency to progressively decrease over the next 2 days. Average assumption of painkillers was 3.93 ± 3.03. Discomfort level (VRSdiscomfort) after surgery was low (median: 1; IR: 1–0), while willingness to undergo the same surgical procedure was very high (77.63% of patients). Swelling and ecchymosis were experienced by 97.36% and 51.32% of patients, respectively, with a mean duration of 4.09 ± 1.43 and 2.21 ± 2.31 days, respectively. Membrane perforation occurred in 4 cases. Other post-operative complications were not observed.ConclusionsMaxillary sinus grafting is a safe procedure, with a low complication rate and moderate morbidity that is well tolerated by patients. Particular attention is needed in case selection, surgical planning and operator expertise.Clinical relevanceThe analysis of patient-reported outcomes can be of great help in surgical planning and in providing correct and adequate treatment.

Practical recommendations for gynecologic surgery during the COVID-19 pandemic.

Surgery in suspected/confirmed COVID‐19 patients is a high‐risk venture. In infected patients, COVID‐19 is present in the body cavity. During surgery it could be nebulized in the spray generated by surgical instruments and could theoretically infect members of the surgical team. Nevertheless, some surgical gynecologic pathologies cannot be postponed. We present a list of the most frequent gynecologic diseases and recommendations on their surgical management during the COVID‐19 pandemic, based on expert opinion, current available information, and international scientific society recommendations to support the work of gynecologists worldwide. In brief, any kind of surgical treatment should be scrutinized and postponed if possible. Nonoperative conservative treatment including pharmacological therapies for hormone‐sensitive pathologies should be implemented. Health risk assessment by patient history and COVID‐19 test before elective surgery are pivotal to protect both patients and healthcare providers. In confirmed COVID‐19 patients or highly suspected cases, elective surgery should be postponed until full recovery.

Evaluation of Pediatric Upper Airway Diseases with Rigid Telescope - Video Laryngoscopy

INTRODUCTION: It is hard to make a differential diagnosis of upper airway diseases in pediatrics. Best method is direct visualization. Flexible nasopharyngoscopy is the most performed method. Rigid telescope - video laryngoscopy (RTVL) could be an alternative in patients who can not be performed flexible nasopharyngoscopy. It is aimed to review RTVL results of pediatric patients for the evaluation of upper airway problems. METHODS: A retrospective analysis of patients who underwent RTVL because of upper airway problems were conducted in the study. The patients’ symptoms, additional diseases and examination findings were recorded. The examinations were performed with a 30 degree rigid telescope – video laryngoscopy by a same, experienced physician. The procedures were performed when flexible video nasopharyngolaryngoscopy was unsuccesfull or when any kind of surgical intervention was planned. Examination findings as well as the surgical procedures performed were recorded. RESULTS: Total of 427 procedures were performed to 332 patients. Stridor was the most common indication for the procedure. The most common examination finding was laryngomalacia. There were 73 patients who had extubation failure and were applied rigid telescope – video laryngoscopy for this reason. Fifty-nine patients had intubation granuloma and this was the most common finding in patients with extubation failure. Tracheotomy was applied to 67 patients. The most common indication for tracheotomy was prolonged intubation. One patient experienced bradycardia during all procedures who recovered with appropriate intervention. DISCUSSION AND CONCLUSION: Stridor and prolonged intubation were the most common symptoms of pediatric upper airway diseases. Laryngomalacia with or without gastro-esophageal reflux were the most common causes. Rigid telescope – video laryngoscopy may be a useful method to evaluate pediatric upper airway diseases when flexible laryngoscopy can not be performed.

Efficacy of ureteral balloon dilatation for benign ureteral stricture

Objective To compare clinical effect of ureteral balloon dilatation and open surgery in the treatment of benign ureteral stricture. So we can find a new choice in the treatment of benign ureteral. Methods From Apirl 2017 to March 2018, 58 patients with benign ureteral stricture were selected. According to different operation modes, two groups were divided into 26 cases, which were treated with balloon dilatation, as the observation group, 32 cases were treated with open operation, as the control group. The clinical effect of two kinds of surgical treatment for benign ureteral stricture were analyzed and compared by statistical analysis. Further analysis of the factors influencing the prognosis of patients with ureteral balloon dilation in the treatment of benign ureteral stricture was conducted. Results The total effective rate in the observation group was 82.6%(19/23), and the control group was 88.9%(24/27), the difference was not statistically significant (P>0.05). In the two groups of operation time, indwelling catheter time, postoperative hospitalization time, postoperative recovery time difference was statistically significant (P 0.05), and ureteral stricture length, stenosis and renal pelvis separation has statistical significance difference between the two groups (P<0.05). Conclusions It is clear that the treatment of balloon dilatation in the treatment of benign ureteral stricture has the advantages of less trauma, simple operation, quick recovery, and so on. It is worth popularizing and applying in the condition of mastering indication.The length, time and the degree of renal pelvis separation caused by the narrow segment of the ureter are the factors influencing the prognosis of the patients with benign ureteral stricture after balloon dilation. Key words: Ureteral Obstruction; Dilatation

Hypothyroidism as a Predictor of Surgical Outcomes in the Elderly.

There is a high prevalence of hypothyroidism in the elderly population, mainly among women. The most important cause is autoimmune thyroiditis, but also iodine deficiency, radioiodine ablation, and surgery may be responsible for hypothyroidism in elderly hospitalized patients. Thyroid-related symptoms are sometimes comparable to physiological manifestations of the aging process, and hypothyroidism may be related with many symptoms which can be present in critical patients, such as cognitive impairment, cardiovascular, gastrointestinal, and hematological alterations, and eventually myxedema coma which is a severe and life-threatening condition in older adults. Adequate thyroid hormone levels are required to achieve optimal outcomes from any kind of surgical intervention. However, only few randomized clinical trials investigated the association between non-thyroidal illness (or low-T3 syndrome), and adverse surgical outcomes, so far. The goal of this review is to discuss the role of thyroid function as a predictor of surgical outcomes in the elderly.

Asymmetric anterior transposition of ulnar nerve in the treatment of cubital tunnel syndrome

Objective To explore the surgical method and clinical efficacy of asymmetric anterior transposition of ulnar nerve in the treatment of moderate and severe cubital tunnel syndrome. Methods Asymmetric anterior transposition of ulnar nerve was performed in 48 cases of moderate or severe cubital tunnel syndrome (group A). The postoperative follow-up included the symptoms of pain, sensation, grip, muscle atrophy and the recovery of claw hand. The two-point discrimination of distal finger pulp and the ulnar nerve motor nerve conduction velocity (MNCV) from 5 cm above the elbow to 5 cm below the elbow were measured before and after the operation. The follow-up results from 114 patients (group B) performed traditional subcutaneous transposition of the ulnar nerve were served as control. The difference of the clinical efficacy between the two methods was statistically analyzed. Results The postoperative follow-up period ranged from 12 to 35 months with an average of 24.8 months. For moderate cubital tunnel syndrome, there was no significant difference between the two kinds of surgical treatment (P>0.05). For severe cubital tunnel syndrome, the differences of the postoperative excellent and good rate, two-point discrimination and MNCV between the two groups were statistically significant (P<0.05). Conclusion For severe cubital tunnel syndrome, the clinical efficacy of asymmetric anterior transposition of ulnar nerve is better than traditional subcutaneous anterior transposition. Key words: Cubital tunnel syndrome; Treatment outcome; Asymmetric anterior transposition of ulnar nerve

Clinical effects of nasal alar sailboat resection combined with catgut embedding therapy for severe hypertrophy of nasal alar

Objective To study the clinical effects of sailboat resection of nasal alar flap combined with catgut embedding in the treatment of severe hypertrophy of the nasal alar. Methods Patients with severe alar hypertrophy were photographed before operation, and the length of alar, the height of nasal ala, the length of nostrils and the width of nostrils were measured. After one month and half a year follow-up, the length of alar, nasal alar height, nostril length, nostril width and nasal width were measured, and the local scar condition was scored according to Vancouver scar scale (VSS). Results Through the combination of two kinds of surgical treatment of severe nasoalar hypertrophy, the surgical effect of satisfaction showed that, with the comparison before and after surgery, nose length and height, length and width of the nostril and the nasal base width were significantly reduced (P 0.05), and so the postoperative effect could be sustained; local scar scale, after half a year and one month after operation, were significantly decreased (P<0.05), and the postoperative long-term scar was not obvious. Conclusions The effect of alar sailboat-resection combined with catgut embedding therapy is satisfactory for the treatment of severe alar hypertrophy. It is one of the ways to treat severe alar hypertrophy. Key words: Nose; Surgery, plastic; Hypertrophy of the nasal alar; Alar sailboat-resection; Catgut embedding; Vancouver scar scale

The frequency, specification of diseases of thyroid gland at children and teenagers according to data for 5 years and the kinds of surgical treatment[rdquo

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

Clinical efficacy analysis of three kinds of surgical treatment for bony mallet fingers

Objective To compare the clinical outcomes of three kinds of surgical treatment for bony mallet fingers, and to explore the appropriate treatment method. Methods From March 2010 to March 2013, 92 cases of bony mallet fingers were treated with Ishiguro method (32 cases), Kirschner wire combined steel wire cross compression (34 cases), reconstruction of extensor tendon insertion with miniature anchor (26 cases) respectively. Results All the patients were follow-up for 4 to 20 months with an average of 9.6 months. According to Patel mallet finger evaluation standard, the results of Ishiguro method group were excellent in 15 cases, good in 12 cases, fair in 4 cases and poor in 1 case, with the excellent and good rate being 84.4%. The results of Kirschner wire combined steel wire cross compression group were excellent in 11 cases, good in 18 cases, fair in 3 cases and poor in 2 cases, with the excellent and good rate being 85.3%. The results of reconstruction of extensor tendon insertion with miniature anchor group were excellent in 10 cases, good in 12 cases, fair in 3 cases and poor in 1 case, with the excellent and good rate being 84.6%. Conclusion There were no significant differences in the clinical efficacy of the three surgical methods for bony mallet fingers. Considering the fracture classification of the mallet fingers, the proficiency of the doctors and the economic ability of the patients, reasonable selection of suitable operation method is the key to the successful treatment of bony mallet fingers. Key words: Tendon injuries; Fracture fixation,internal; Bony mallet finger

Clinical care of acanthamoeba keratitis patients

Recently, akanthamoeba keratitis (AK) is seen more and more often in ophthalmological practice. However, today there are no standard guidelines concerning diagnosis and treatment of patients with AK. In the article, the experience in care for such patients is presented.&#x0D; Purpose: to estimate the efficiency of diagnosis and treatment of patients with AK.&#x0D; Materials and methods. Case histories of patients, who received treatment for akanthamoeba keratitis in the Eye Microsurgery Department No. 4, City Ophthalmologic Center of the City Hospital No. 2, from 2011 to 2016, were analyzed. Under observation, there were 25 patients (26 eyes) with akanthamoeba keratitis aged from 18 to 77 years; there were 15 men and 10 women. Patients were observed during 1 year. Full ophthalmologic examination was conducted in all patients. Additional diagnostic methods included microbiological investigation of corneal scrapes and washings, culturing them on innutritious agar (with E. сoli covering), confocal corneal microscopy (HRT 3 with cornea module, Heidelberg Retina Tomograph Rostock Cornea Module). A superficial punctate keratits (AK stage 2) was found in one patient. All other patients were divided into two groups. Stromal ring-shaped keratitis was diagnosed in patients of the first group (7 patients, AK stage 3). The 2nd group consisted of 17 patients with corneal ulcer (AK stage 4). All patients received medicamentous treatment. However patients of the 2nd group required different kinds of surgical treatment.&#x0D; Results. In AK diagnosis, corneal confocal microscopy is the most informative method. In patients with AK stages 2 and 3, there was an improvement in visual functions as a result of medicamentous therapy. As a result of treatment at the discharge from the hospital, the best corrected visual acuity was 0.5-1.0 for most patients. In the 2nd group patients, who were subjects to different types of surgical treatment visual functions stabilized. However non-compliance with recommendations led to disease recurrences with worse outcomes in four cases.&#x0D; Conclusion. It is possible to stop the inflammatory process preserving at the same time high visual functions only when patients are addressed in time, and when appropriate AK therapy is prescribed and patients are compliant with it for a long time.

ON THE ISSUE OF THE PECULIARITIES OF SURGICAL TREATMENT OF VARIOUS HISTOLOGICAL VARIANTS OF AMELOBLASTOMA

The typical treatment of ameloblastoma is by surgery. The result of the procedure nevertheless does not always lead to complete healing of the sickness but to a recurrence during the post-operative period. It has been reported by a number of authors that the recurrence of the condition is influenced by a number of factors such as the kind of surgical intervention, the histological variant of the ameloblastoma and the incomplete removal of the tumor. The purpose of this research is to study the incidence of recurrence of ameloblastoma after surgery, taking into consideration type of surgery and size of the tumor. A study of 76 cases of ameloblastoma with different histological structures was undertaken in the laboratory of pathological anatomy of Central Research Institute of Dental and Maxillofacial Surgery. Data such as the recurrence of the disease and tumors size was collected, registered and analysed. The size of the tumors was expressed in conventional units. The analysis showed that basal cell and plexiform variants of ameloblastoma are often relate to cases with aggressive clinical courses. The tendency to the recurrence of the disease was also observed in the follicular and acanthomatous variants. According to the results of this study, cases of peripheral variants of ameloblastoma have the best prognosis.

Perioperative and Oncologic Outcomes of Nephrectomy and Caval Thrombectomy Using Extracorporeal Circulation and Deep Hypothermic Circulatory Arrest for Renal Cell Carcinoma Invading the Supradiaphragmatic Inferior Vena Cava and/or Right Atrium

BackgroundRadical nephrectomy (RN) and caval thrombectomy (CT) for renal cell carcinoma, with extracorporeal circulation (ECC) and deep hypothermic circulatory arrest (DHCA) is a challenging surgical approach. ObjectiveTo assess peri-operative and oncologic outcomes of renal cell carcinoma patients treated with RN and CT, using ECC and DHCA. Design, setting, and participantsWe retrospectively evaluated 46 patients who underwent RN and CT using ECC and DHCA. Surgical procedureAfter retroperitoneal nodal dissection and RN, a cardiopulmonary bypass was placed and DHCA achieved. A combined approach through the abdomen and the thorax was described. MeasurementsPerioperative and long-term survival outcomes were reported. Results and limitationsMedian operative time and length of hospital stay were 545min and 22 d. Overall, 33 patients (72%) did not require any additional interventional or surgical treatment. Thirty-day and 90-d mortality were 11% (5/46) and 15% (7/46). The 1-yr, 2-yr, and 3-yr cancer specific mortality (CSM)-free survival rates were 77%, 62%, and 56%, respectively. After stratification, according to metastatic status at diagnosis, CSM-free survival rates were significantly lower for cM1 patients compared with cM0 patients (1-yr 46% vs 93%, 2-yr 23% vs 81%, 3-yr 23% vs 73%, p<0.01). Our study is limited by its retrospective and uncomparative nature. ConclusionsRN with CT using ECC and DHCA is a challenging procedure which requires a dedicated multidisciplinary working team to minimise complications and maximise patients’ outcomes. Patient summaryPatients with kidney cancer and a thrombus within the inferior vena cava, which reaches above the diaphragm, can be treated with surgery. However, this kind of surgical treatment is challenging and requires a dedicated multidisciplinary team in order to accomplish the task.

Recent Advance of Transurethral Columnar Balloon Dilation of the Prostate

There are many kinds of surgical treatment for benign prostatic hyperplasia (BPH). With the development of new methods and technologies, various surgical procedures have been developed for BPH. Such as transurethral laser prostatectomy (TULP) and bipolar plasma kinetic vaporization of prostate (BPKVP). However, all of the surgical procedures at present are by removing of hyperplastic glandular tissue. There are still no effective surgical treatment for patients who want to preserve the prostate organ or those who have poor tolerance to conventional surgery and anesthesia. Transurethral columnar balloon dilation of the prostate (TUCBDP)is a new technology for the treatment of BPH in recent years. This article reviews the research progress and clinical application of TUCBDP.

The principles of surgical care: intraoperative care

The preoperative phase of the surgical journey or pathway provides the basis for the delivery of safe and effective care; an in-depth assessment of individual needs is required. The intraoperative phase of the pathway can bring with it a number of potential challenges, where the patient may be seen at their most vulnerable. If the healthcare assistant and assistant practitioner (HCA and AP), understand the issues and acknowledge the fear that some people may experience, this can help them to provide care that is safe, kind, considerate and compassionate. The thought of any kind of surgical intervention can instil a profound anxiety and distress in a number of people. Being able to explain the various processes and procedures and the myriad of activities that take place during the intraoperative period can alleviate this distress and anxiety. This article provides an overview of intraoperative care.

Bipolar plasma vaporization of the prostate: ready to replace GreenLight? A systematic review of randomized control trials.

Monopolar transurethral resection of the prostate (TURP) and open surgery remain associated with significant morbidity in contemporary series and are constantly challenged by new endoscopic treatments. Our aim was to conduce a systematic review of randomized controlled trials (RCTs) assessing the efficacy and safety of bipolar plasma vaporization of the prostate (BPVP) in the management of bladder outlet obstruction due to benign prostatic hyperplasia. A MEDLINE database search was performed, and a list of relevant publications was established with the consensus of all authors. RCTs comparing BPVP to any other kind of surgical treatment were included. All studies assessing hybrid techniques (combination with bipolar resection or bipolar vaporization) were excluded. The end points were functional outcomes and treatment-related adverse events. Seven different RCTs including a total of 1,071 study participants were selected. BPVP had superior hemostatic efficiency as compared to TURP resulting in shorter catheterization time (42.5 vs. 77.5 h) and shorter hospital stay (3.1 vs. 4.4 days). BPVP also had slightly better short-term functional outcomes as compared to TURP (mean IPSS at follow-up: 5.7 vs. 8.3). Selected RCTs were suggesting a better hemostatic efficiency of the BPVP as compared to TURP and similar short-term functional outcomes. But due to the lack of multicentric data and to the fact that most of the published studies had been conducted in one single institution, BPVP may not be recommended as an alternative to TURP in everyday practice.