PMID: 9432741Feb 12, 1998Paper

Transurethral tissue vaporization: indications and limitations of the technique. Our experience in 105 cases

Minerva urologica e nefrologica = The Italian journal of urology and nephrology
G FontanaR Borsa

Abstract

Laser vaporisation of the prosthesis (LP) is now regarded as the most valid alternative to endoscopic resection (TUR). It is a safe, relatively non-invasive and clinically effective method but requires the use of very expensive instruments. In order to obtain the same results but at a lower cost, an innovative technique has recently been introduced: "prostatic electrovaporisation" which uses a combination of coagulation and electrosurgical tissue vaporisation, and achieves the same biological effect as laser treatment using equipment already available for standard TUR merely by modifying the operator electrode. From February to September 1995, a total of 105 patients (38 with benign prostatic hypertrophy, 7 with advanced prostate carcinoma, 60 with multifocal superficial vescical carcinoma with a mean diameter of 2.5 cm) underwent transurethral tissue vaporisation using a rotary, constant flow ACMI resector with a grooved roller ball which enables the contemporary coagulation and vaporisation of tissues. In terms of benign and malignant prostate pathology, surgery is slightly shorter than TUR (5-10 minutes on average), blood loss is minimum (hemotransfusion is never required), the post-TVP catheter stage is comparable to that o...Continue Reading

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