img
Plasmakinetic vaporization versus plasmakinetic resection to treat benign prostatic hyperplasia A prospective randomized trial with 1 year follow up       
Yazarlar
Mert Ali Karadağ
Kafkas Üniversitesi, Türkiye
Kürşat Çeçen
Türkiye
Aslan Demir
Kafkas Üniversitesi, Türkiye
Prof. Dr. Ramazan KOCAASLAN Prof. Dr. Ramazan KOCAASLAN
Kafkas Üniversitesi, Türkiye
Altunrende Fatih
Türkiye
Özet
We evaluate the efficacy and outcomes of plasma-kinetic vaporization (PKVP) and plasmakinetic resection (PKR) to treat benign prostatic hyperplasia (BPH). A total of 183 patients with BPH underwent plasma-kinetic prostatic surgery between 2008 and 2012 at Kars State Hospital and Kafkas University Faculty of Medicine, Turkey. After clinical and preoperative evaluation, the patients were randomized to PKRP or PKVP groups sequentially by using computer-generated numbers. Group 1 included 96 patients treated with PKR. Group 2 included 87 patients treated with PKVP. Patients in both groups were compared in terms of hemoglobin drop, operation time, catheter duration, reobstruction, incontinence and recatheterization. When we compared the maximum flow rates (Qmax values) at the 12th month, there was no statistical difference between 2 groups. Group 1 had a mean Qmax value of 17.92 ± 3.819 and Group 2 had a 18.15 ± 3.832 value (p > 0.05). There was a statistical difference between the groups in terms of hemoglobin drop, catheter duration and operation time. The mean catheter duration in Group 1 was 3.74 ± 1.049 days, and in Group 2 it was 2.64 ± 0.849 days (p < 0.05). Operation time was statistically longer in Group 2 (PKVP) and hemoglobin drop was statistically higher in Group 1 (PKR). PKVP for BPH is safe and effective. When compared with PKRP, it provides a significantly shorter catheter duration and less bleeding due to hemostasis control with similar IPSS and Qmax improvements after 1 year.
Anahtar Kelimeler
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı CUAJ-CANADIAN UROLOGICAL ASSOCIATION JOURNAL
Dergi ISSN 1911-6470
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 09-2014
Cilt No 8
Sayı 9
Doi Numarası 10.5489/cuaj.1902
Makale Linki http://journals.sfu.ca/cuaj/index.php/journal/article/view/1902