Comparative Analysis of the Efficacy and Safety of Conventional Transurethral Resection of the Prostate, Transurethral Resection of the Prostate in Saline (TURIS), and TURIS-Plasma Vaporization for the Treatment of Benign Prostatic Hyperplasia: A Pilot Study
Lee Yong-Taec, 류영우, 이동민, 박상욱, 염승희, 한준현,
소속 상세정보
( Lee Yong-Taec )
Korea Electric Power Corporation Medical Foundation Han-il General Hospital Department of Urology
류영우 ( Ryu Young-Woo )
Korea Electric Power Corporation Medical Foundation Han-il General Hospital Department of Urology
이동민 ( Lee Dong-Min )
Korea Electric Power Corporation Medical Foundation Han-il General Hospital Department of Urology
박상욱 ( Park Sang-Wook )
Korea Electric Power Corporation Medical Foundation Han-il General Hospital Department of Urology
염승희 ( Yum Seung-Hee )
Korea Electric Power Corporation Medical Foundation Han-il General Hospital Department of Urology
한준현 ( Han June-Hyun )
Korea Electric Power Corporation Medical Foundation Han-il General Hospital Department of Urology
KMID : 0358320110520110763
Abstract
Purpose:This study was conducted to perform a comparative analysis of the efficacy and safety of conventional transurethral resection of the prostate (TUR-P), transurethral resection in saline (TURIS), and TURIS-plasma vaporization (TURIS-V) when performed by a single surgeon for benign prostatic hyperplasia (BPH).
Materials and Methods :The clinical data of 73 consecutive men who underwent conventional TUR-P (39), TURIS (19), or TURIS-V (15) for BPH were retrospectively analyzed. All procedures were carried out by a single surgeon between October 2007 and April 2010. The patients were assessed preoperatively and perioperatively and were followed at 1, 3, and 6 months postoperatively. Patient baseline characteristics, perioperative data, and postoperative outcomes were compared, and major complications were recorded.
Results:In all groups, significant improvements in subjective and objective voiding parameters were achieved and were sustained throughout follow-up. TURIS-V had the shortest operation time compared with conventional TUR-P and TURIS (p=0.211). TURIS-V significantly decreased procedural irrigation fluid volume, postoperative irrigation duration, catheter duration, and hospital stay compared with conventional TUR-P and TURIS. There were no significant differences between the groups in hemoglobin levels or serum sodium levels before and after the operations. There were three transfusions and four clot retentions in the TUR-P group, and one transfusion and one clot retention in the TURIS group. The TURIS-V group had no complications.
Conclusions:TURIS and TURIS-V were effective for the surgical treatment of BPH in addition to conventional TUR-P. TURIS-V was not inferior to conventional TUR-P or TURIS in terms of safety.
키워드
Male; Prostatectomy; Prostatic hyperplasia; Transurethral resection of prostate; Urologic surgical procedures
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