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Efficacy and safety of bipolar plasma vaporization of the prostate with "button-type" electrode compared with transurethral resection of prostate for benign prostatic hyperplasia
Zhang Shi-ying; Hu Hao; Zhang Xiao-peng; Wang Dong; Xu Ke-xin; Na Yan-qun; Huang Xiao-bo; Wang Xiao-feng
关键词Urethral Prostate Plasma Vaporization Transurethral Resection Of Prostate Bipolar Plasma Vaporization Of The Prostate Surgical Procedures
刊名CHINESE MEDICAL JOURNAL
2012-11-05
DOI10.3760/cma.j.issn.0366-6999.2012.21.012
125期:21页:3811-3814
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]COMPLICATIONS ; MONOPOLAR
英文摘要

Background Transurethral resection of prostate (TURP) has been considered as the standard treatment for benign prostatic hyperplasia (BPH). However, issues that have not yet been overcome for TURP include bleeding and absorption of irrigation fluid. Thus, novel improvement of the surgery is necessary. This study aimed to evaluate the efficacy and safety of bipolar plasma vaporization of the prostate (BPVP) with "button-type" electrode against standard TURP for BPH.

Methods From January 2009 to January 2012, 30 patients who scheduled for surgical treatment of BPH surgical treatment were enrolled in the trial with provided consent for the study. Patients were prospectively randomized 1:1 to undergo either BPVP or TURP. Participants were blinded to the randomization scheme. All cases were assessed preoperatively and followed at 1, 3, and 6 months postoperatively by indwelling catheter time, blood loss, hospital stays, International Prostate Symptom Score (IPSS), quality of life (QOL), and Qmax.

Results BPVP was significantly superior to TURP in terms of indwelling catheter time ((4.1 +/- 4.1) days vs. (6.8 +/- 6.8) days, P=0.000), blood loss ((64.7 +/- 103.8) ml vs. (254.7 +/- 325.4) ml, P=0.040), hospital stay ((8.7 +/- 1.0) days vs. (11.7 +/- 1.5) days, P=0.000), IPSS ((4.2 +/- 8.0) vs. (9.3 +/- 3.7), P=0.049), QOL ((1.5 +/- 0.8) vs. (2.6 +/- 1.4), P=0.027), Qmax ((16.3 +/- 5.7) ml/s vs. (12.5 +/- 3.1) ml/s, P=0.038), hemoglobin ((130.7 +/- 9.4) g/L vs. ((122.1 +/- 11.9) g/L, P=0.047), Na+ level ((138.6 +/- 2.1) mmol/L vs. ((137.2 +/- 2.0) mmol/L, P=0.046) and operation time ((39.0 +/- 15.5) minutes vs. ((69.3 +/- 24.8) minutes, P=0.004). And there were no statistical differences between BPVP group and TURP group in preoperatively assessment: patient′s age ((70.9 +/- 7.1) years vs. (71.9 +/- 6.1) years, P=0.736), IPSS ((24.6 +/- 4.7) vs. (27.3 +/- 5.9), P=0.100), QOL ((5.1 +/- 0.8) vs. (5.1 +/- 1.0), P=0.940), Qmax ((4.4 +/- 2.7) ml/s vs. (5.3 +/- 2.6) ml/s, P=0.314), hemoglobin ((137.4 +/- 8.7) g/L vs. (139.2 +/- 10.4) g/L, P=0.623), Na+ level ((140.5 +/- 1.8) mmol/L vs. (141.3 +/- 1.4) mmol/L, P=0.192) and prostate volume ((59.0 +/- 17.4) ml vs. (70.1 +/- 28.8) ml, P=0.276).

Conclusions Compared with TURP, BPVP with "button-type" electrode shows superior efficacy and safety. Therefore, BPVP with "button-type" electrode represents a valuable endoscopic treatment alternative for BPH patients. Chin Med J 2012;125(21):3811-3814

语种英语
WOS记录号WOS:000311265200012
引用统计
被引频次:13[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/50374
专题北京大学第二临床医学院_泌尿外科
作者单位Peking Univ, Peoples Hosp, Dept Urol, Beijing 100044, Peoples R China
推荐引用方式
GB/T 7714
Zhang Shi-ying,Hu Hao,Zhang Xiao-peng,et al. Efficacy and safety of bipolar plasma vaporization of the prostate with "button-type" electrode compared with transurethral resection of prostate for benign prostatic hyperplasia[J]. CHINESE MEDICAL JOURNAL,2012,125(21):3811-3814.
APA Zhang Shi-ying.,Hu Hao.,Zhang Xiao-peng.,Wang Dong.,Xu Ke-xin.,...&Wang Xiao-feng.(2012).Efficacy and safety of bipolar plasma vaporization of the prostate with "button-type" electrode compared with transurethral resection of prostate for benign prostatic hyperplasia.CHINESE MEDICAL JOURNAL,125(21),3811-3814.
MLA Zhang Shi-ying,et al."Efficacy and safety of bipolar plasma vaporization of the prostate with "button-type" electrode compared with transurethral resection of prostate for benign prostatic hyperplasia".CHINESE MEDICAL JOURNAL 125.21(2012):3811-3814.
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