Transurethral electrovaporization of the prostate (TUVP) is effective, safe and durable

Abstract

Transurethral electrovaporization of the prostate (TUVP) is one of the alternative, minimally invasive procedures to treat BPH with promising initial results. We reviewed the available English literature to evaluate the long-term safety, efficacy and durability of TUVP using various vaporizing electrodes. We performed a MEDLINE keyword search and assessed all prospective randomized studies, which compared TUVP to standard transurethral resection of the prostate (TURP) that reached 1 y follow-up. Data were analysed for improvement of IPSS and Q max , operation time, hospital stay, perioperative bleeding, postoperative irritative symptoms, long-term side effects and reoperation rate. We reviewed a total of 244 TUVP compared to 259 TURP patients in six prospective randomized studies that reached 1 y follow-up. Less perioperative bleeding, shorter catheterization time (mean of TUVP: 30 h vs TURP: 61 h) and shorter hospital stay (mean of 1.4 days vs TURP: 3.4 days) were reported in the TUVP patients. The improvement in IPSS (71%) and mean Q max (20 ml/s) was similar in both groups. The reoperation rate was 2% per year in both vaporization and resection patients. In conclusion, analysis of the prospective randomized trials that reached 1 year follow-up revealed that TUVP is as effective as standard TURP in the treatment of BPH. Long-term side effects and reoperation rates are comparable and the initial improvement was maintained over 1 year for the majority of patients.

A Comparative Study on the Outcomes of Various Modalities of Surgical Management of Benign Prostatic Hyperplasia

“…urine leak, haematoma, undue tension). (10) Risk factors for BNC development after prostatectomy include a history of diabetes mellitus, coronary artery disease, obesity, surgeon experience, surgical technique and certain postoperative complications (haemorrhage, prolonged urine leak, anastomotic disruption) (11) ; nevertheless, in our study one patient developed bladder neck contracture after open prostatectomy. This patient had diabetes mellitus and hypertension as risk factors.…”

Long-term Results of Surgical Techniques and Procedures in Men with Benign Prostatic Hyperplasia

“…Of note, TURP was the only intervention in this trial with a durable improvement in Qmax. Two studies describing shorter 5-year follow-up demonstrated similar results, with the exception that the improvement in Qmax remained significant [19,20]. Reoperation rates and postoperative PVR were higher for TUVP than TURP in the randomized trial by Hammadeh et al [13].…”

“…Transurethral electrovaporization (TUVP) was first described by Bush et al [18] in 1993 with the potential advantages of reduced bleeding and TUR syndrome [19]. Hoekstra et al [6••] reported 10-year follow-up data from a randomized control study comparing TURP, TUVP, and CLP, including 48 patients treated with TUVP.…”

Surgical management of benign prostatic hyperplasia

“…Zahvat se izvodi uz ispiranje fiziološkom otopinom, što smanjuje nastanak TUR sindroma. Pokazalo se kako je trajanje poslijeoperativne kateterizacije nakon TUVP-a kraće te da su kratkoročni rezultati TURP-a i TUVP-a usporedivi, međutim potrebne su bolje dizajnirane studije za usporedbu dugoročnih rezultata 20 .…”