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Published on: May 9, 2018
Transurethral resection of prostate: technical progress by bipolar Gyrus plasma-kinetic tissue management system
M Falsaperla1, L Cindolo, A Saita
1Department of Urology,University of Catania, Catania, Italy. mayurol@yahoo.it
Summary
Bipolar plasma-kinetic resection effectively treats benign prostatic hyperplasia (BPH) symptoms. This procedure offers significant improvements in urinary flow and symptom scores with a favorable safety profile.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Benign prostatic hyperplasia (BPH) is a common condition causing bladder outlet obstruction.
- Symptomatic BPH significantly impacts quality of life.
Purpose of the Study:
- To evaluate the safety and efficacy of bipolar plasma-kinetic resection for BPH.
- To assess intraoperative variables and short-term outcomes.
Main Methods:
- Prospective study of 389 patients undergoing transurethral resection of prostate (TURP) using bipolar plasma-kinetic technique.
- Preoperative assessment included DRE, PSA, ultrasound, I-PSS, and uroflowmetry.
- Postoperative evaluation at 12 months included I-PSS, Qmax, and complication assessment.
Main Results:
- Mean operative time was 89 minutes; mean resected weight was 49.6g.
- Significant improvement in maximum flow rate (Qmax) by 190% and International-Prostate Symptom Score (I-PSS) by 79% at 12 months.
- Low rates of postoperative complications including urinary retention (1.57%) and urethral strictures (2.57%).
Conclusions:
- Transurethral resection of prostate with bipolar plasma-kinetic technology is a safe and effective treatment for symptomatic BPH.
- The procedure demonstrates favorable short-term outcomes and a good safety profile.
