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
Identifieur interne : 000536 ( Ncbi/Curation ); précédent : 000535; suivant : 000537Comparative 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
Auteurs : Yong Taec Lee [Corée du Sud] ; Young Woo Ryu [Corée du Sud] ; Dong Min Lee [Corée du Sud] ; Sang Wook Park [Corée du Sud] ; Seung Hee Yum [Corée du Sud] ; June Hyun Han [Corée du Sud]Source :
- Korean Journal of Urology [ 2005-6737 ] ; 2011.
Abstract
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).
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.
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.
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.
Url:
DOI: 10.4111/kju.2011.52.11.763
PubMed: 22195266
PubMed Central: 3242990
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sortKey="Ryu, Young Woo" sort="Ryu, Young Woo" uniqKey="Ryu Y" first="Young Woo" last="Ryu">Young Woo Ryu</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lee, Dong Min" sort="Lee, Dong Min" uniqKey="Lee D" first="Dong Min" last="Lee">Dong Min Lee</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du 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Seung Hee" uniqKey="Yum S" first="Seung Hee" last="Yum">Seung Hee Yum</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Han, June Hyun" sort="Han, June Hyun" uniqKey="Han J" first="June Hyun" last="Han">June Hyun Han</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, 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type="wicri:Area/Ncbi/Merge">000536</idno><idno type="wicri:Area/Ncbi/Curation">000536</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">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</title><author><name sortKey="Lee, Yong Taec" sort="Lee, Yong Taec" uniqKey="Lee Y" first="Yong Taec" last="Lee">Yong Taec Lee</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Ryu, Young Woo" sort="Ryu, Young Woo" uniqKey="Ryu Y" first="Young Woo" last="Ryu">Young Woo Ryu</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lee, Dong Min" sort="Lee, Dong Min" uniqKey="Lee D" first="Dong Min" last="Lee">Dong Min Lee</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Sang Wook" sort="Park, Sang Wook" uniqKey="Park S" first="Sang Wook" last="Park">Sang Wook Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Yum, Seung Hee" sort="Yum, Seung Hee" uniqKey="Yum S" first="Seung Hee" last="Yum">Seung Hee Yum</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Han, June Hyun" sort="Han, June Hyun" uniqKey="Han J" first="June Hyun" last="Han">June Hyun Han</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Korea Electric Power Corporation Medical Foundation Han-il General Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Korean Journal of Urology</title><idno type="ISSN">2005-6737</idno><idno type="eISSN">2005-6745</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>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).</p></sec><sec><title>Materials and Methods</title><p>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.</p></sec><sec><title>Results</title><p>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.</p></sec><sec><title>Conclusions</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lee, Hl" uniqKey="Lee H">HL Lee</name></author><author><name sortKey="Seo, Jw" uniqKey="Seo J">JW Seo</name></author><author><name sortKey="Kim, Wj" uniqKey="Kim W">WJ Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, E" uniqKey="Lee E">E Lee</name></author><author><name sortKey="Yoo, Ky" uniqKey="Yoo K">KY Yoo</name></author><author><name sortKey="Kim, Y" uniqKey="Kim Y">Y Kim</name></author><author><name sortKey="Shin, Y" uniqKey="Shin Y">Y Shin</name></author><author><name sortKey="Lee, C" uniqKey="Lee C">C Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Geavlete, B" uniqKey="Geavlete B">B Geavlete</name></author><author><name sortKey="Multescu, R" uniqKey="Multescu R">R Multescu</name></author><author><name 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Chen</name></author><author><name sortKey="Zhang, L" uniqKey="Zhang L">L Zhang</name></author><author><name sortKey="Fan, Ql" uniqKey="Fan Q">QL Fan</name></author><author><name sortKey="Zhou, J" uniqKey="Zhou J">J Zhou</name></author><author><name sortKey="Peng, Yb" uniqKey="Peng Y">YB Peng</name></author><author><name sortKey="Wang, Z" uniqKey="Wang Z">Z Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hon, Nh" uniqKey="Hon N">NH Hon</name></author><author><name sortKey="Brathwaite, D" uniqKey="Brathwaite D">D Brathwaite</name></author><author><name sortKey="Hussain, Z" uniqKey="Hussain Z">Z Hussain</name></author><author><name sortKey="Ghiblawi, S" uniqKey="Ghiblawi S">S Ghiblawi</name></author><author><name sortKey="Brace, H" uniqKey="Brace H">H Brace</name></author><author><name sortKey="Hayne, D" uniqKey="Hayne D">D Hayne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Karaman, Mi" uniqKey="Karaman M">MI Karaman</name></author><author><name sortKey="Kaya, C" uniqKey="Kaya C">C Kaya</name></author><author><name sortKey="Ozturk, M" uniqKey="Ozturk M">M Ozturk</name></author><author><name sortKey="Gurdal, M" uniqKey="Gurdal M">M Gurdal</name></author><author><name sortKey="Kirecci, S" uniqKey="Kirecci S">S Kirecci</name></author><author><name sortKey="Pirincci, N" uniqKey="Pirincci N">N Pirincci</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Patankar, S" uniqKey="Patankar S">S Patankar</name></author><author><name sortKey="Jamkar, A" uniqKey="Jamkar A">A Jamkar</name></author><author><name sortKey="Dobhada, S" uniqKey="Dobhada S">S Dobhada</name></author><author><name sortKey="Gorde, V" uniqKey="Gorde V">V Gorde</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Geavlete, B" uniqKey="Geavlete B">B Geavlete</name></author><author><name sortKey="Multescu, R" uniqKey="Multescu R">R Multescu</name></author><author><name sortKey="Dragutescu, M" uniqKey="Dragutescu M">M Dragutescu</name></author><author><name sortKey="Jecu, M" uniqKey="Jecu M">M Jecu</name></author><author><name sortKey="Georgescu, D" uniqKey="Georgescu D">D Georgescu</name></author><author><name sortKey="Geavlete, P" uniqKey="Geavlete P">P Geavlete</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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