Prospective Randomized Controlled Trial Comparing Plasmakinetic Vaporesection and Conventional Transurethral Resection of the Prostate
| Autor: | B.E. Lau, Simon See-Ming Hou, Chris Fong Yu, Shu-Keung Li, Berry Fung |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment lcsh:Surgery Electrosurgery Prostatic Hyperplasia urologic and male genital diseases law.invention plasmakinetic prostatectomy Hemoglobins Randomized controlled trial Blood loss law Prostate medicine Humans Postoperative outcome Prospective Studies Therapeutic Irrigation Acute hospital Aged Transurethral resection of the prostate Saline irrigation business.industry Significant difference Sodium Transurethral Resection of Prostate lcsh:RD1-811 transurethral resection of the prostate Surgery medicine.anatomical_structure outcome Operative time International Prostate Symptom Score business |
| Zdroj: | Asian Journal of Surgery, Vol 28, Iss 1, Pp 24-28 (2005) |
| ISSN: | 1015-9584 |
| Popis: | OBJECTIVE: Plasmakinetic vaporesection of the prostate (PKVP) using normal saline irrigation has the theoretical advantage of avoiding transurethral resection syndrome and minimizing blood loss. It may also shorten the operative time since tissue is resected instead of just vaporized. The aim of this study was to evaluate the efficiency, safety and advantages of PKVP compared with standard transurethral resection of the prostate (TURP) at a regional acute hospital. METHODS: A total of 60 consecutive men admitted from a waiting list for surgery for benign prostatic hyperplasia (BPH) were prospectively randomized to either PKVP or TURP. Peri- and postoperative outcome data at 3 months were obtained. RESULTS: The PKVP loop achieved a fast and sharp cutting action similar to that with the traditional TURP loop. Data analysis was based on 51 patients. There were no significant differences between the methods in resection time, postoperative catheterization time and hospital stay. The mean reductions in serum sodium 2 hours after PKVP and on postoperative day 1 were 0.52 mmol/L and 3.35 mmol/L, respectively, while mean reductions in haemoglobin were 0.36 g/dL and 0.24 g/dL, respectively. There was no significant difference in haemoglobin reductions between PKVP and TURP (p = 0.326 at 2 hours; p = 0.192 on day 1) and serum sodium (p = 0.757 at 2 hours; p = 0.888 on day 1). Both groups achieved comparable improvement in International Prostate Symptom Score (p = 0.862), quality-of-life score (p = 0.169) and peak flow rate (p = 0.96) at 3-month follow-up. CONCLUSION: PKVP achieved comparable results to traditional TURP and was an effective and safe procedure. However, it did not demonstrate obvious advantages over TURP in this acute regional hospital regular TURP list setting. [Asian J Surg 2005;28(1):24–8] |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|