[Comparison of the effectiveness of electrovaporisation, vaporesection and electroresection in the treatment of obstructive symptoms in patients with benign prostate hyperplasia].

Abstract

OBJECTIVES:

The aim of this study is the comparison of the efficacy of classical electroresection of the prostate (TURP) and its modern modifications--electrovaporisation (EVAP) and vaporesection (TUVRP) in the treatment of patients with benign prostate hyperplasia (BPH).

MATERIAL AND METHODS:

96 patients were operated on because of BPH. In 31 patients we performed TURP (group I), in 34--EVAP (group II) and in 31--TUVRP (group III). On follow up 1, 3, 6 months post operation we evaluated maximal urine flow (Qmax) and postvoid residual urine (PVR) and compared them to preoperation values.

RESULTS:

Mean preoperative values were: 8.98 ml/s and 116.76 ml (group I); 8.64 ml/s and 121.36 ml (group II) and 8.69 ml/s and 112.50 ml (group III). In all patients after 1 month follow up Qmax raised almost twice and after 6 months mean values were respectively in groups I, II, III: 21.62 ml/s; 20.79 ml/s; 22.56 ml/s. PVR diminished in 6 months follow up and mean values were respectively 14.61 ml; 15 ml; 11.25 ml. Differences in these results were of no statistical value.

CONCLUSIONS:

The efficacy of TURP, EVAP and TUVRP in the treatment of BPH is comparable. EVAP and TUVRP also diminished risk of intraoperative bleeding.

• Authors: Zbigniew Wolski, Aleksander Lapuć
• Journal: Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego (Pol Merkur Lekarski) Vol. 17 Issue 97 Pg. 43-6 (Jul 2004) ISSN: 1426-9686 [Print] Poland
• Vernacular Title: Porównanie skuteczności elektrowaporyzacji i waporesekcji z elektroresekcja przezcewkowa w usuwaniu przeszkody podpecherzowej u chorych z łagodnym rozrostem stercza.
• PMID: 15559609 (Publication Type: Clinical Trial, Comparative Study, Controlled Clinical Trial, English Abstract, Journal Article)

Topics

• Aged
• Aged, 80 and over
• Blood Loss, Surgical
• Electrosurgery (adverse effects, methods)
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Postoperative Complications
• Prostatic Hyperplasia (surgery)
• Time Factors
• Transurethral Resection of Prostate (adverse effects, methods)
• Treatment Outcome