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Bipolar Plasmakinetic Vaporization versus the Standard Monopolar Transurethral Resection of the Prostate for Management of Benign Prostate Hyperplasia: Long Term Follow-Up of a Ra

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Last updated: 04 Jan 2025

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Abstract

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.
 

DOI

10.21608/scumj.2020.120781

Keywords

prostate, Plasmakinetic, vaporization, transurethral, resection

Authors

First Name

Essam

Last Name

Shalaby

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Email

essamshalby1@hotmail.com

City

ismailaia

Orcid

0000-0001-8340-5668

First Name

Osman

Last Name

Abd Elkader

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

-

City

-

Orcid

-

First Name

Ammar

Last Name

Ghobish

MiddleName

-

Affiliation

Department of Urology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Sakr

MiddleName

-

Affiliation

Department of Urology, Zagazig University Hospital, Zagazig, Egypt

Email

-

City

-

Orcid

-

Volume

23

Article Issue

1

Related Issue

17184

Issue Date

2020-03-01

Receive Date

2020-10-29

Publish Date

2020-03-01

Page Start

71

Page End

80

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 23_Issue 1_Pages 71-80.pdf

PDF . 381.3kB

Link

https://scumj.journals.ekb.eg/article_120781.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=120781

Order

8

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

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

Details

Type

Article

Created At

22 Jan 2023