Four-Year Outcome of a Prospective Randomised Trial Comparing Bipolar Plasmakinetic and Monopolar Transurethral Resection of the Prostate

Autorino, Riccardo; Damiano, Rocco; Lorenzo, Giuseppe Di; Quarto, Giuseppe; Perdonà, Sisto; D’Armiento, Massimo; Sio, Marco De

doi:10.1016/j.eururo.2009.01.028

Cited by 99 publications

(72 citation statements)

References 27 publications

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“…Our article presents data on a long-term follow-up period to provide mid-to-long term results on efficacy. In a study comparing long-term outcomes between M-TURP and P-TURP, Autorino et al [11] observed a 3-fold improvement in IPSS and Qmax after four years of follow-up. After a follow-up of 100 months, Muslumanoglu et al [12] emphasized the reliability of the P-TURP compared with monopolar TURP.…”

Section: Discussionmentioning

confidence: 99%

“…[15] After extensive studies, it has been reported that urethral stricture may occur at a rate of 2.2-9.8% following M-TURP surgery. [16] Autorino et al [11] observed that after 4 years, urethral stricture occurred at a rate of 6.2% after M-TURP and 3% after P-TURP. Zhao et al [13] reported that after 3 years urethral stricture occurred at a rate of 2.9% after M-TURP, whereas no stricture was encountered in their series treated with P-TURP.…”

Section: Discussionmentioning

confidence: 99%

“…[16] Following M-TURP and P-TURP, re-operation rates were reported as 9.6% and 6.2% after 4 years of follow-up and 9% and 11.8% at the end of 100 months, respectively. [11,12] In our study, re-operation rates were calculated as 4.61% and 3.38% in the 4th year and 9.23% and 8.47% in the 7 th year (p<0.05). These similar and acceptable re-operation rates showed additional advantages of each TURP surgery.…”

Section: Discussionmentioning

confidence: 99%

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Comparative outcomes of plasmakinetic versus monopolar transurethral resection of benign prostatic hyperplasia: 7 years' results

Erturhan

Bayrak

Şeçkiner

et al. 2013

Turkish Journal of Urology

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Objective: We compared results from the standard monopolar or the bipolar plasmakinetic method for the transurethral resection of the prostate (TURP) due to benign prostatic hyperplasia (BPH) at 4 and 7 years after surgery (medium to long term). Material and methods:A retrospective analysis was performed on the complete data from 124 patients who were alive and had 7 years of regular follow-up. Of those 124 patients with BPH, 65 (52%) underwent monopolar TURP (M-TURP) and 59 (48%) underwent plasmakinetic TURP (P-TURP). During the followup period, the International Prostate Symptom Score (IPSS), the maximal flow rate (Qmax) measured using uroflowmetry and the prostate specific antigen (PSA) values were recorded. Patients in whom alpha blockers were administered due to the growth of postoperative adenoma and who had been operated on due to urethral stricture, bladder neck contracture or a growing adenoma were also noted and recorded.Results: There was no statistically significant difference between M-TURP and P-TURP groups in any pre-operative or post-operative follow-up parameter at 4 or 7 years post-surgery. Specifically, PSA, IPSS and Qmax values; urethrotomies performed; alpha-blocker use; and the frequency of re-operations were statistically insignificant (p>0.05). Conclusion:Our study demonstrated that when medium-to long-term results are compared, P-TURP and M-TURP appear to result in similar IPSS scores, Qmax values, complication rates and retreatment rates. Larger prospective studies are required to corroborate these results.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Comparative outcomes of plasmakinetic versus monopolar transurethral resection of benign prostatic hyperplasia: 7 years' results

Erturhan

Bayrak

Şeçkiner

et al. 2013

Turkish Journal of Urology

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“…Nowadays, bipolar TURP is used in many centers due to several benefits and superior or similar results in comparison with monopolar TURP (8,14,23,(29)(30)(31). Bipolar transurethral vaporization of the prostate (TUVP) in saline using hovering technique is an easy learning and low cost procedure in comparison to laser technique (12,14,20).…”

Section: Introductionmentioning

confidence: 99%

Bipolar transurethral vaporization: a superior procedure in benign prostatic hyperplasia: a prospective randomized comparison with bipolar TURP

et al. 2014

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ARTICLE INFO ______________________________________________________________ ______________________Objective: To compare the outcomes of bipolar transurethral vaporization of the prostate (TUVP) with bipolar transurethral resection of the prostate (TURP). Materials and Methods: In a prospective randomized trial, 88 patients with moderate to severe lower urinary tract symptoms secondary to benign prostatic hyperplasia (BPH) underwent bipolar TUVP (N = 39) or bipolar TURP (N = 49) from October 2010 to November 2011. The inclusion criteria were age > 50 years, prostate volume of 30-80mL, serum PSA < 4ng/mL, IPSS ≥ 20, Q max ≤ 10mL/s and failed medical therapy. The perioperative and postoperative outcomes were evaluated and the IPSS and Q max were assessed preoperatively and 3 months after procedure in all cases. Results: Both groups were similar in patient age, prostate volume, preoperative IPSS and Q max . The TUVP group had significantly lower mean values of operative time, hospital stay, catheterization period, irrigation fluid volume and serum hemoglobin, creatinine, sodium and potassium changes compared with TURP group. No significant differences were seen between two groups regarding complications (TUVP = 10.3%; TURP = 12.2%) and modified Clavien classification of complications. No TUR syndrome, obturator reflex or epididymitis occurred in both groups. Re-hospitalization and transfusion due to clot retention (N = 2) and urethral stricture (N = 1) were reported only in the TURP group. Three patients experienced urinary retention after catheter removal in the TUVP group. Two patients were re-catheterized temporarily and one patient required repeat bipolar TUVP. Three months after surgery, two groups had significant improvement in IPSS and Q max . But the TUVP group had significantly lower IPSS and higher Q max than TURP group. Conclusions: Bipolar TUVP is a safe, effective and low cost procedure among minimally invasive surgeries of BPH. Compared with bipolar TURP, the bipolar TUVP had similar complications, better perioperative and postoperative outcomes, superior hemostasis and higher efficacy.

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“…Despite the success in safety, some complications can still occur with TUPKP. The incidence of urethral stricture was 1.8%∼8.8% [1,2], which had no significant difference compared with common electrotomy or electro vaporization resection. Although urethrography is commonly used in the diagnosis of urethral stricture, a better tool is needed due to its inaccurate measurements in the length of narrow segment and X-ray radiation to physicians and patients during examination.…”

Section: Discussionmentioning

confidence: 93%

Urethral ultrasonography: A novel diagnostic tool for dysuria following bipolar transurethral plasma kinetic prostatectomy

Wang

Bian

Ting-ting

et al. 2016

THC

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Abstract. Urethral ultrasonography is non-invasive and able to indicate the urethral lumen clearly, as well as the surrounding tissues of the posterior urethra, without contrast agent or X-ray irradiation. In this paper, we evaluate the reliability of urethral ultrasonography in the diagnosis of dysuria following bipolar transurethral plasma kinetic prostatectomy (TUPKP). A total of 120 benign prostate hyperplasia (BPH) patients with dysuria undergoing TUPKP were enrolled in this study, with a mean age of 72.8 years. All the patients received urethral ultrasonography, urethroscopy and bladder neck urethra stenosis oulectomy. Among the 120 cases, there were 22 cases of bladder neck closure, 20 bladder orifice stricture, 60 urethral stricture, 10 prostate remnants, 2 calculi in prostatic urethra, 4 dysfunction of bladder detrusor muscle and 2 flap of internal urethral orifice. χ 2 -test was used for the comparison of ultrasonography and urethral cystoscopy in the diagnosis of dysuria following TRPKP, and no significant difference was found between two diagnostic tools (χ 2 = 0.94, P > 0.05). Urethral ultrasonography is a reliable and minimally invasive diagnostic tool for dysuria following TUPKP and is conducive to early treatment of dysuria following prostatectomy.

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Four-Year Outcome of a Prospective Randomised Trial Comparing Bipolar Plasmakinetic and Monopolar Transurethral Resection of the Prostate

Cited by 99 publications

References 27 publications

Comparative outcomes of plasmakinetic versus monopolar transurethral resection of benign prostatic hyperplasia: 7 years' results

Comparative outcomes of plasmakinetic versus monopolar transurethral resection of benign prostatic hyperplasia: 7 years' results

Bipolar transurethral vaporization: a superior procedure in benign prostatic hyperplasia: a prospective randomized comparison with bipolar TURP

Urethral ultrasonography: A novel diagnostic tool for dysuria following bipolar transurethral plasma kinetic prostatectomy

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