Objective To compare the completeness and eBciencyResults There was no diCerence in the reduction in TRUS-PV at 3 months (23.9 cm3 vs 21.45 cm3, of the removal of prostatic adenomatous tissue between transurethral resection (TURP) and a new P<0.9), or in the operative duration (45 min vs 52.5 min, P<0.2), between TURP and TUEVAP, operative technique of electrovaporization (TUEVAP) using a modified roller electrode.respectively. The TRUS-PV of tissue removed exceeded the actual dry resected weight after TURP (15 g) by a Patients and methods In a prospective double-blind study, patients with moderate to severe lower urinary factor of 1.59. After applying this factor to the TRUS-PV reduction for the TUEVAP group, the calcutract symptoms and objective evidence of obstruction, were randomized to undergo either TURP (using a lated dry weight of tissue removed for this group was 13.49 g (P<0.55); the diCerence in tissue removal standard cutting-wire loop) or TUEVAP (performed with a new operative technique and the spiked-bar rate by TRUS criteria was 0.48 cm3/min vs 0.37 cm3/min (P<0.15). electrode). The prostate volume measured using transrectal ultrasonography (TRUS-PV) was used toConclusions These data suggest an equivalent completeness of removal of adenomatous prostate tissue assess the completeness of tissue clearance after treatment. Results were compared using group median between TURP and TUEVAP. The eBciency of tissue removal for TUEVAP was slightly less than that of values. For the TURP group, the TRUS-PV estimate of tissue removed was divided by the dry resected weight regular loop resection, but this diCerence was not statistically significant. These results are specific to the to derive a correction factor for any discrepancy between the values. This factor was applied to the combination of electrode, electrosurgical unit and operative technique used in this study, and may diCer TRUS-PV reduction in the TUEVAP group (where there was no tissue to be weighed) to estimate the actual if any of these variables are altered.