전립선비대증 환자의 수술적 치료에서 경요도 양극성 플라즈마 전립선기화술의 초기경험 |
이용택, 이동민, 류영우, 임송원, 염승희, 한준현 |
한국전력의료재단 한일병원 비뇨기과 |
Initial Experiences with Transurethral Bipolar Plasma Vaporization of the Prostate for the Treatment of Benign Prostatic Hyperplasia |
Yong Taec Lee , Dong Min Lee , Young Woo Ryu , Song Won Lim , Seung Hee Yum , June Hyun Han |
Department of Urology, Korea Electric Power Corporation Medical Foundation, Han-il General Hospital, Seoul, Korea |
Correspondence:
June Hyun Han |
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Abstract |
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. Conclusions: The new TBPVP showed good short-term safety and efficacy for the treatment of Korean patients with BPH. (Korean J Urol Oncol 2011;9:124-129) |
Key Words:
Prostatic hyperplasia, Transurethral resection of prostate, Ablation techniques |
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