The 'Band Electrode':
First Experiences with a Novel
TURP Procedure to Improve
Hemostasis

Faul, P.; Farin, G.; Reich, Oliver; Steude, U

doi:10.1159/000474204

Cited by 24 publications

(22 citation statements)

References 3 publications

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“…1) and reported preliminary results on the first 30 patients [7]. Herein, we report our immediate and midterm results of 265 men treated with this device at our institution.…”

Section: Introductionmentioning

confidence: 91%

The Band Electrode: Ongoing Experience with a Novel Turp Loop to Improve Hemostasis in 265 Patients

Reich

Faul²

2004

Urol Int

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Introduction: Intraoperative bleeding, one of the major complications of conventional transurethral resection of the prostate (TURP), has led to a search for various alternative methods of tissue ablation in patients with benign prostatic hyperplasia. In 1996, we introduced the newly designed Band Electrode, which combines a high degree of resection efficiency with a better hemostasis. Material and Methods: 265 consecutive patients with prostatism underwent TURP with the Band Electrode. This modified loop electrode does not consist of a thin wire but is rather a flat metal band with a width of 1.2 mm. International prostate symptom score (IPSS), Life Quality Index (L), peak urine flow and postvoid residual urine were evaluated pre- and postoperatively. Additionally, electrical parameters have been recorded with a specially designed high-frequency generator. Results: Median IPSS decreased from 23 preoperatively to 8 and 9 at 12 (n = 194) and 24 months (n = 172), respectively (p < 0.001). Life Quality Index (L) dropped from 4 to 2 and 2, respectively (p < 0.001). Peak urine flow increased from 8.2 ml/s to 18.2 (at postoperative day 3), 17.8 and 17.4 ml/s, respectively (p < 0.001). Median postvoid residual urine decreased from 77 to 15, 22 and 21 ml, respectively (p < 0.001). Resected tissue mass averaged 25 (8–102) g, resection time was 36.5 (18–82) min. Indwelling catheters were removed 32 (24–72) h postoperatively. None of the patients required blood transfusions or showed signs of a TUR syndrome. Despite a 1.3 times higher power need, the total energy application in vivo was comparable to conventional TURP. Conclusions: This simple exchange of active electrodes leads to a superior hemostasis and thus safety in TURP. Resection speed, tissue ablation and total energy need remain identical.

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“…1) and reported preliminary results on the first 30 patients [7]. Herein, we report our immediate and midterm results of 265 men treated with this device at our institution.…”

Section: Introductionmentioning

confidence: 91%

The Band Electrode: Ongoing Experience with a Novel Turp Loop to Improve Hemostasis in 265 Patients

Reich

Faul²

2004

Urol Int

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“…Während des letzten Jahrzehnts wurden zahlreiche neue Verfahren für die operative Therapie der BPH vorgestellt [2,5,7,12,13,16,22,23]. Der wesentliche Vorteil der meisten Laserverfahren (z.…”

Section: Hintergrundunclassified

“…Unabhängig davon wurden zahlreiche alternative Energieverfahren und verschiedene technische Variationen der TURP zur Minimalisierung der perioperativen Morbidität in der klinischen Praxis erprobt [5,13,16,23].…”

Section: Diskussionunclassified

Die 80-Watt-Kalium-Titanyl-Phosphat- (KTP-)Laservaporisation der Prostata

et al. 2004

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“…Bei der Bandelektrode nach Faul, die gegenüber der konventionellen Drahtschlinge bei gleicher Dicke (0,3 mm) 4-mal breiter (1,2 mm) ist, wird bei gleicher Schnittgeschwindigkeit eine verlängerte Stomflussdauer in das laterale Gewebe mit wirksamerer Hämo-stase angestrebt. Hierzu ist eine (um 1,5-mal) höhere Stromleistung erforderlich, die durch eine kürzere Koagulationszeit kompensiert wird [3,4] …”

Section: Diskussionunclassified

“…Um vielmehr eine primäre Hämostase zu bewirken, gibt es verschiedene Lösungsansätze, wie z. B. die Modifikation der Resektionsschlinge (Bandelektrode,"thick loop") oder des Resektionsstroms (Vaporschnitt, intermittierende Koagulationsresektion) [3,4,8,10]. Die Bandelektrode nach Faul ist gegenüber einer konventionellen Drahtschlinge bei gleicher Dicke (0,3 mm) 4-mal breiter (1,2 mm) und hat dementsprechend bei gleicher Resektionsleistung eine länge-re Koagulationswirkung auf das umgebende Gewebe mit seinen Blutgefäßen.…”

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