Randomized study of transurethral resection of the prostate and combined transurethral resection and vaporization of the prostate as a therapeutic alternative in men with benign prostatic hyperplasia

Journal of Endourology
S KüpeliM Budak

Abstract

In recent years, various minimally invasive alternatives to transurethral resection have become available for treatment of benign prostatic hyperplasia (BPH). Transurethral electrovaporization has become popular, with reported improvements in subjective and objectives measures, but a high rate of postoperative irritative symptoms and lack of tissue for histologic examination are the two most commonly reported disadvantages of this procedure. To decrease the postoperative irritative symptoms while minimizing intraoperative and postoperative bleeding and also to obtain tissue samples, we have combined the techniques of vaporization, which was termed "vapor-cut." The aim of this randomized study was to compare the efficacy and safety of vapor-cut with those of the gold standard, transurethral resection. A series of 100 consecutive men (mean age 63.5 +/- 3.4 years) with moderate to severe symptoms of prostatism were randomized to receive transurethral resection of the prostate (TURP) or vapor-cut since November 1997. Adverse events during the procedure, including serial changes in both serum hematocrit and sodium and postoperative irritative symptoms, were recorded after removal of the urethral catheter. Preoperative and postoperat...Continue Reading

References

Jun 1, 1992·British Journal of Urology·A J CostelloJ Burt
Sep 1, 1991·The Journal of Urology·E V Kramolowsky, R D Tucker

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Citations

Jul 3, 2009·Current Urology Reports·Narmada P Gupta, Ajay Anand
Sep 20, 2005·International Journal of Radiation Oncology, Biology, Physics·Patrick W McLaughlinJames Montie
Nov 3, 2001·BMJ : British Medical Journal·M J Barry, C G Roehrborn
Mar 17, 2007·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Jens RassweilerJean De La Rosette

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