ISSN: 1305-3876
Hakkında: Özel sayılar şeklinde yayınlanır.
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Comparision Of Convansional Turp Andbipolar Plasmakinetic Energy In The Treatment Of Bph
Dr. Ahmet Yaser MÜSLÜMANOĞLU,a Dr. Faruk ÖZCANb
a Üroloji Kliniği, Haseki Eğitim ve Araştırma Hastanesi,b Üroloji AD, İstanbul Üniversitesi İstanbul Tıp Fakültesi, İSTANBUL
The gold standard treatment, transurethral resection of the prostate (TURP), significantly improves urinary symptoms and urinary flow. However, TURP has up to a 20% morbidity. Currently, there are a number of minimally invasive techniques that may be safe, effective alternatives to TURP. One promising surgical technique is transurethral electrovaporization of the prostate (TUVP) During two years period, a total of 101 BPH patients randomized into two groups and 51 TUVP compared to 50 TURP patients. Data were analysed for improvement of IPSS and Q (max), hospital stay, postoperative irritative symptoms, long-term side effects, re-catheterization and reoperation rate. Less shorter catheterization time and shorter hospital stay (mean of 1.4 days vs TURP: 3.4 days) were reported in the TUVP patients. The improvement in IPSS (63%) and mean Q (max) (17,50 ml/s) was similar in both groups. The reoperation rate was 4.1% per year in the vaporization group but 2.1% in resection group. In conclusion, analysis of the prospective randomized trials that reached 1 year follow-up revealed that TUVP is as effective as standard TURP in the treatment of BPH. Long-term side effects and reoperation rates are comparable and the initial improvement was maintained over 1 year for the majority of patients.Keywords: TURP, transuretral electrovaporization of prostate, prostatic hyperplasiaTurkiye Klinikleri J Surg Med Sci 2005, 1(1):94-98
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