Plasmakinetic Enucleation of the Prostate Compared with Open Prostatectomy for Prostates Larger Than 100 Grams: A Randomized Noninferiority Controlled Trial with Long-term Results at 6 Years

Bipolar Vaporization, Resection, and Enucleation Versus Open Prostatectomy: Optimal Treatment Alternatives in Large Prostate Cases?

“…As far as the postoperative recovery was concerned, TUVis patients benefitted from the shortest catheterization period and hospital stay (1.3 and 2.1 days), results that favorably matched the available trials (1.14-1.45 catheter and 2.9-3.0 hospitalization days 30,31,[32][33][34]. Resembling outcomes in this regard were also established for BPEP (1.6 and 2.5 days, respectively), thus outlining a satisfactory parallel with the literature data on plasmakinetic enucleation (1.47-2.8 and 3-4.2 days 18,20,35 ). On the other hand, both the TURis group of this study (2.2 and 3.2 days) as well as the PK-TURP published results (0.81-4.1 and 3.3-4.9 days 7,19,36 ) showed relatively longer catheterization and hospital periods.…”

“…When analyzing the plasmakinetic enucleation of the prostate (PKEP), at preoperative volumes of 110 to 113.8 mL, the literature data underlined rather variable surgical times (94-121.2 minutes) implied by this technique to remove a satisfactory quantity of BPH tissue (64.2-118.2 g). 18,20 From this perspective, the presently discussed BPEP approach followed the upper limit of initially measured prostate volume (122.6 mL) treated within a good procedural duration (87.4 minutes) and supported by a satisfactory ablation capability (98.7 g of resected tissue). Finally, outcomes specific for the conventional OP study group (110.3 g removed from an initial 128.7 mL mean volume within 79.4 minutes) subscribed to the average parameters established by the available literature concerning this aspect (98.7-116.8 g, 118.2-138.4 mL, and 55.4-109.5 minutes, respectively 13,21 ).…”

Perioperative Outcomes of Robotic and Laparoscopic Simple Prostatectomy: A European–American Multi-institutional Analysis

“…The estimated blood loss seems to be lower than reported for OSP [3,4]; this situation is also reflected in the low intraoperative transfusion rate (3.5%), which compared favorably with the rates seen for laser techniques for similar-sized glands [6,7]. In terms of hospital stay, MISP techniques, especially RASP, seem to offer shorter times compared with those reported in contemporary series of OSP [3,4], but in this regard, laser and bipolar techniques are more attractive [6][7][8][9]. Similarly, catheterization time seems to be in favor of transurethral procedures; this can be regarded as a sensitive issue for the patient, as it directly affects his quality of life in the immediate postoperative period.…”

“…Thus, alternative minimally invasive options have been introduced and implemented with the aim of reducing surgical morbidity. These alternatives are chiefly laser technologybased procedures [6,7] and bipolar technology-based procedures [8,9].…”

Plasmakinetic Vapor Enucleation of the Prostate with Button Electrode versus Plasmakinetic Resection of the Prostate for Benign Prostatic Enlargement >90 ml: Perioperative and 3-Month Follow-Up Results of a Prospective, Randomized Clinical Trial

“…There were no statistically significant differences in transient incontinence and urethral stricture between the two groups within three months. This result was similar to previous reports [18,19]. Postoperative PVR, IPSS, and QoL were decreased and the postoperative Q max was increased from the baseline in both groups at the 3-month follow-up assessments.…”