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KMID : 1001020110090030124
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Korean Journal of Urological Oncology
2011 Volume.9 No. 3 p.124 ~ p.129
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Initial Experiences with Transurethral Bipolar Plasma Vaporization of the Prostate for the Treatment of Benign Prostatic Hyperplasia
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Lee Yong-Taek
Lee Dong-Min
Ryu Young-Woo
Lim Song-Won
Yum Seung-Hee
Han Jun-Hyun
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Abstract
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Purpose: This study was conducted to introduce the initial experiences with transurethral bipolar plasma vaporization of the prostate (TBPVP) using ’mushroom’ vapo-resection electrode for the treatment of benign prostatic hyperplasia (BPH) in Korean men.
Materials and Methods: We retrospectively analysed the clinical data of 42 consecutive patients underwent TBPVP performed by a single surgeon between October 2009 and April 2011. The patients were assessed preoperatively and perioperatively, and were followed at 2, 4, and 8 weeks postoperatively. Patient baseline characteristics, perioperative data, postoperative outcomes, and major complications were recorded.
Results: The mean age at surgery was 70.93±6.26 years. The mean prostate size was 64.10±17.83ml. The mean operation time was 59.40±25.99min, and the mean irrigation fluid volume during procedure was 26,000±10,511ml. The mean duration of catheterization was 3.57±0.94 days. The blood loss was minimal, and there was only 1 transfusion for the patient with ongoing heparization. Compared with baseline, there were significant improvements in IPSS, QoL, Qmax and postvoiding residual urine after surgery.
Conslusions: The new TBPVP showed good short-term safety and efficacy for the treatment of Korean patients with BPH.
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KEYWORD
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Prostatic hyperplasia, Transurethral resection of prostate, Ablation techniques
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