Bipolar plasma vaporization versus standard transurethral resection in secondary bladder neck sclerosis: a prospective, medium-term, randomized comparison
Identifieur interne : 000296 ( Pmc/Corpus ); précédent : 000295; suivant : 000297Bipolar plasma vaporization versus standard transurethral resection in secondary bladder neck sclerosis: a prospective, medium-term, randomized comparison
Auteurs : Bogdan Geavlete ; Cristian Moldoveanu ; Catalin Iacoboaie ; Petrisor GeavleteSource :
- Therapeutic Advances in Urology [ 1756-2872 ] ; 2013.
Abstract
This prospective, randomized, medium-term trial aimed to assess the efficiency, safety and postoperative results of bipolar plasma vaporization (BPV) in comparison with monopolar transurethral resection (TUR) in cases of secondary bladder neck sclerosis (BNS).
A total of 70 patients with BNS secondary to transurethral resection of the prostate (TURP; 46 cases), open prostatectomy for benign prostatic hypertrophy (BPH; 18 cases) and radical prostatectomy for prostate cancer (6 cases) were enrolled in the trial. The inclusion criteria consisted of maximum flow rate (
The mean operation time (10.3
BPV constitutes a valuable endoscopic treatment approach for secondary BNS. The method emphasized superior efficacy, a satisfactory safety profile and similar medium-term follow-up features when compared with standard TUR.
Url:
DOI: 10.1177/1756287212470695
PubMed: 23554842
PubMed Central: 3607491
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PMC:3607491Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Bipolar plasma vaporization <italic>versus</italic> standard transurethral resection in secondary bladder neck sclerosis: a prospective, medium-term, randomized comparison</title><author><name sortKey="Geavlete, Bogdan" sort="Geavlete, Bogdan" uniqKey="Geavlete B" first="Bogdan" last="Geavlete">Bogdan Geavlete</name></author><author><name sortKey="Moldoveanu, Cristian" sort="Moldoveanu, Cristian" uniqKey="Moldoveanu C" first="Cristian" last="Moldoveanu">Cristian Moldoveanu</name></author><author><name sortKey="Iacoboaie, Catalin" sort="Iacoboaie, Catalin" uniqKey="Iacoboaie C" first="Catalin" last="Iacoboaie">Catalin Iacoboaie</name></author><author><name sortKey="Geavlete, Petrisor" sort="Geavlete, Petrisor" uniqKey="Geavlete P" first="Petrisor" last="Geavlete">Petrisor Geavlete</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23554842</idno><idno type="pmc">3607491</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3607491</idno><idno type="RBID">PMC:3607491</idno><idno type="doi">10.1177/1756287212470695</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000296</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000296</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Bipolar plasma vaporization <italic>versus</italic> standard transurethral resection in secondary bladder neck sclerosis: a prospective, medium-term, randomized comparison</title><author><name sortKey="Geavlete, Bogdan" sort="Geavlete, Bogdan" uniqKey="Geavlete B" first="Bogdan" last="Geavlete">Bogdan Geavlete</name></author><author><name sortKey="Moldoveanu, Cristian" sort="Moldoveanu, Cristian" uniqKey="Moldoveanu C" first="Cristian" last="Moldoveanu">Cristian Moldoveanu</name></author><author><name sortKey="Iacoboaie, Catalin" sort="Iacoboaie, Catalin" uniqKey="Iacoboaie C" first="Catalin" last="Iacoboaie">Catalin Iacoboaie</name></author><author><name sortKey="Geavlete, Petrisor" sort="Geavlete, Petrisor" uniqKey="Geavlete P" first="Petrisor" last="Geavlete">Petrisor Geavlete</name></author></analytic><series><title level="j">Therapeutic Advances in Urology</title><idno type="ISSN">1756-2872</idno><idno type="eISSN">1756-2880</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="section1-1756287212470695"><title>Objectives:</title><p>This prospective, randomized, medium-term trial aimed to assess the efficiency, safety and postoperative results of bipolar plasma vaporization (BPV) in comparison with monopolar transurethral resection (TUR) in cases of secondary bladder neck sclerosis (BNS).</p></sec><sec id="section2-1756287212470695"><title>Methods:</title><p>A total of 70 patients with BNS secondary to transurethral resection of the prostate (TURP; 46 cases), open prostatectomy for benign prostatic hypertrophy (BPH; 18 cases) and radical prostatectomy for prostate cancer (6 cases) were enrolled in the trial. The inclusion criteria consisted of maximum flow rate (<italic>Q</italic><sub>max</sub>) <10 ml/s and International Prostate Symptom Score (IPSS) >19. All patients were evaluated preoperatively and at 1, 3, 6, 12 and 18 months after surgery by IPSS, quality of life score (QoL), <italic>Q</italic><sub>max</sub> and postvoiding residual urinary volume (PVR).</p></sec><sec id="section3-1756287212470695"><title>Results:</title><p>The mean operation time (10.3 <italic>versus</italic> 14.9 minutes), catheterization period (0.75 <italic>versus</italic> 2.1 days) and hospital stay (1.1 <italic>versus</italic> 3.2 days) were significantly reduced in the BPV series. During the immediate postoperative follow up, recatheterization for acute urinary retention only occurred in the TUR series (5.7%). The medium-term retreatment requirements due to BNS recurrence were lower in the BPV study arm (2.8% <italic>versus</italic> 8.5%). At the 1, 3, 6, 12 and 18 months assessments, statistically similar parameters were found concerning the IPSS and QoL symptom scores, <italic>Q</italic><sub>max</sub> and PVR values specific for the two therapeutic alternatives.</p></sec><sec id="section4-1756287212470695"><title>Conclusions:</title><p>BPV constitutes a valuable endoscopic treatment approach for secondary BNS. The method emphasized superior efficacy, a satisfactory safety profile and similar medium-term follow-up features when compared with standard TUR.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ther Adv Urol</journal-id><journal-id journal-id-type="iso-abbrev">Ther Adv Urol</journal-id><journal-id journal-id-type="publisher-id">TAU</journal-id><journal-id journal-id-type="hwp">sptau</journal-id><journal-title-group><journal-title>Therapeutic Advances in Urology</journal-title></journal-title-group><issn pub-type="ppub">1756-2872</issn><issn pub-type="epub">1756-2880</issn><publisher><publisher-name>SAGE Publications</publisher-name><publisher-loc>Sage UK: London, England</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23554842</article-id><article-id pub-id-type="pmc">3607491</article-id><article-id pub-id-type="doi">10.1177/1756287212470695</article-id><article-id pub-id-type="publisher-id">10.1177_1756287212470695</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Research</subject></subj-group></article-categories><title-group><article-title>Bipolar plasma vaporization <italic>versus</italic> standard transurethral resection in secondary bladder neck sclerosis: a prospective, medium-term, randomized comparison</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Geavlete</surname><given-names>Bogdan</given-names></name><aff id="aff1-1756287212470695">‘Saint John’ Emergency Clinical Hospital, Department of Urology, Bucharest, Romania</aff></contrib><contrib contrib-type="author"><name><surname>Moldoveanu</surname><given-names>Cristian</given-names></name><aff id="aff2-1756287212470695">‘Saint John’ Emergency Clinical Hospital, Department of Urology, Bucharest, Romania</aff></contrib><contrib contrib-type="author"><name><surname>Iacoboaie</surname><given-names>Catalin</given-names></name><aff id="aff3-1756287212470695">‘Saint John’ Emergency Clinical Hospital, Department of Urology, Bucharest, Romania</aff></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Geavlete</surname><given-names>Petrisor</given-names></name><aff id="aff4-1756287212470695">‘Saint John’ Emergency Clinical Hospital, Department of Urology, Vitan Barzesti Street No. 13, Sector 4, Code: 042122, Bucharest, Romania</aff></contrib></contrib-group><author-notes><corresp id="corresp1-1756287212470695"><email>geavlete@gmail.com</email></corresp></author-notes><pub-date pub-type="epub-ppub"><month>4</month><year>2013</year></pub-date><pmc-comment>Fake ppub date generated by PMC from publisher pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><month>4</month><year>2013</year></pub-date><volume>5</volume><issue>2</issue><fpage>75</fpage><lpage>83</lpage><permissions><copyright-statement>© The Author(s), 2012</copyright-statement><copyright-year>2012</copyright-year><copyright-holder content-type="sage">SAGE Publications</copyright-holder></permissions><abstract><sec id="section1-1756287212470695"><title>Objectives:</title><p>This prospective, randomized, medium-term trial aimed to assess the efficiency, safety and postoperative results of bipolar plasma vaporization (BPV) in comparison with monopolar transurethral resection (TUR) in cases of secondary bladder neck sclerosis (BNS).</p></sec><sec id="section2-1756287212470695"><title>Methods:</title><p>A total of 70 patients with BNS secondary to transurethral resection of the prostate (TURP; 46 cases), open prostatectomy for benign prostatic hypertrophy (BPH; 18 cases) and radical prostatectomy for prostate cancer (6 cases) were enrolled in the trial. The inclusion criteria consisted of maximum flow rate (<italic>Q</italic><sub>max</sub>) <10 ml/s and International Prostate Symptom Score (IPSS) >19. All patients were evaluated preoperatively and at 1, 3, 6, 12 and 18 months after surgery by IPSS, quality of life score (QoL), <italic>Q</italic><sub>max</sub> and postvoiding residual urinary volume (PVR).</p></sec><sec id="section3-1756287212470695"><title>Results:</title><p>The mean operation time (10.3 <italic>versus</italic> 14.9 minutes), catheterization period (0.75 <italic>versus</italic> 2.1 days) and hospital stay (1.1 <italic>versus</italic> 3.2 days) were significantly reduced in the BPV series. During the immediate postoperative follow up, recatheterization for acute urinary retention only occurred in the TUR series (5.7%). The medium-term retreatment requirements due to BNS recurrence were lower in the BPV study arm (2.8% <italic>versus</italic> 8.5%). At the 1, 3, 6, 12 and 18 months assessments, statistically similar parameters were found concerning the IPSS and QoL symptom scores, <italic>Q</italic><sub>max</sub> and PVR values specific for the two therapeutic alternatives.</p></sec><sec id="section4-1756287212470695"><title>Conclusions:</title><p>BPV constitutes a valuable endoscopic treatment approach for secondary BNS. The method emphasized superior efficacy, a satisfactory safety profile and similar medium-term follow-up features when compared with standard TUR.</p></sec></abstract><kwd-group><kwd>bipolar plasma vaporization</kwd><kwd>monopolar transurethral resection</kwd><kwd>secondary bladder neck sclerosis.</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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