PMID: 9531157Apr 8, 1998Paper

The "Wedge" resection device for electrosurgical transurethral prostatectomy

Journal of Endourology
A P Perlmutter, D A Schulsinger

Abstract

The "Wedge" (Microvasive, Natick MA) is a new electroresection device for transurethral prostatectomy (TURP) using the standard resectoscope. The design, which is broader than the standard loop and thickens from front to back, results in better hemostasis when used at 275 to 300 W because of its ability to cut and coagulate tissue simultaneously. In the canine model, histologic examination demonstrated a 2-mm zone of coagulation around the chips and in the resection bed; this response was not observed in the specimens resected by the standard tungsten loop. No adjacent tissue damage was found with either the Wedge or the loop, and the temperatures recorded at the capsule rose only 4 degrees C regardless of the device used. In the 65 patients treated, the average hematocrit drop on postoperative Day 1 was 3.0%, and serum sodium was unchanged. One year postoperatively, the peak flow rate had increased by 101%, and the AUA Symptom Score was 6.1. The only surgical complication was urethral strictures (3%) necessitating incision. Most striking was the increased case of resection attributable to improved intraoperative vision. The data suggest that Wedge TURP is as safe and efficacious as standard loop TURP. The surgical field is mar...Continue Reading

References

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Citations

Jun 27, 2002·Current Urology Reports·M A CabelinS A Kaplan
Jul 3, 2009·Current Urology Reports·Narmada P Gupta, Ajay Anand
Jan 12, 2008·Journal of Endourology·Narmada P GuptaRajeev Kumar
Oct 10, 2002·The Urologic Clinics of North America·Richard A Santucci, Jack W McAninch
Oct 26, 2001·Scandinavian Journal of Urology and Nephrology·R F Talic
Oct 30, 2010·Korean journal of urology·Jungbum BaeJae-Seung Paick
Apr 23, 2016·Parasite : Journal De La Société Française De Parasitologie·Michaël Luciano TantelyDidier Fontenille

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