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Bipolar Saline TURP for Large Prostate Glands

The objective of this study was to evaluate the feasibility of bipolar transurethral resection of the prostate (TURP) in patients with very large prostate glands and significant comorbidities. Four patients with prostate glands >160 cc on preoperative volume measurement and ASA class three or hig...

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Autores principales: Finley, David S., Beck, Shawn, Szabo, Richard J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: TheScientificWorldJOURNAL 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901345/
https://www.ncbi.nlm.nih.gov/pubmed/17891315
http://dx.doi.org/10.1100/tsw.2007.241
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author Finley, David S.
Beck, Shawn
Szabo, Richard J.
author_facet Finley, David S.
Beck, Shawn
Szabo, Richard J.
author_sort Finley, David S.
collection PubMed
description The objective of this study was to evaluate the feasibility of bipolar transurethral resection of the prostate (TURP) in patients with very large prostate glands and significant comorbidities. Four patients with prostate glands >160 cc on preoperative volume measurement and ASA class three or higher underwent bipolar TURP with the Gyrus PlasmaKinetic system. Preoperative, operative, and postoperative parameters were studied. The results showed an average ASA class 3.25 (range: 3–4). The average preoperative prostate volume was 207.4 cc (range: 163–268). The average preoperative International Prostate Symptom Score (IPSS) and bother score was 31 and 6, respectively. Mean resection time was 163 min (range: 129–215). The weight of resected tissue and percentage of vaporized tissue was 80.8 g (range: 62–115) and 10.0% (range: 3.8–15.1), respectively. An average of 61L of saline was used (range: 48–78). The mean change in hemoglobin and serum sodium was 2.1 g/dl (range: 1.4–2.7) and 3.3 meq/l (range: 2–4), respectively. Postoperative catheter time averaged 76 h (range: 40–104). Mean length of hospital stay was 12 h (range: 4–24). The mean postoperative IPSS and bother score was 2.75 and 0.25, respectively. Bipolar TURP is a feasible alternative to simple open prostatectomy in high-risk patients with massive prostate adenomas. Prostate volume is reduced by approximately 10% due to vaporization.
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spelling pubmed-59013452018-06-03 Bipolar Saline TURP for Large Prostate Glands Finley, David S. Beck, Shawn Szabo, Richard J. ScientificWorldJournal Research Article The objective of this study was to evaluate the feasibility of bipolar transurethral resection of the prostate (TURP) in patients with very large prostate glands and significant comorbidities. Four patients with prostate glands >160 cc on preoperative volume measurement and ASA class three or higher underwent bipolar TURP with the Gyrus PlasmaKinetic system. Preoperative, operative, and postoperative parameters were studied. The results showed an average ASA class 3.25 (range: 3–4). The average preoperative prostate volume was 207.4 cc (range: 163–268). The average preoperative International Prostate Symptom Score (IPSS) and bother score was 31 and 6, respectively. Mean resection time was 163 min (range: 129–215). The weight of resected tissue and percentage of vaporized tissue was 80.8 g (range: 62–115) and 10.0% (range: 3.8–15.1), respectively. An average of 61L of saline was used (range: 48–78). The mean change in hemoglobin and serum sodium was 2.1 g/dl (range: 1.4–2.7) and 3.3 meq/l (range: 2–4), respectively. Postoperative catheter time averaged 76 h (range: 40–104). Mean length of hospital stay was 12 h (range: 4–24). The mean postoperative IPSS and bother score was 2.75 and 0.25, respectively. Bipolar TURP is a feasible alternative to simple open prostatectomy in high-risk patients with massive prostate adenomas. Prostate volume is reduced by approximately 10% due to vaporization. TheScientificWorldJOURNAL 2007-09-17 /pmc/articles/PMC5901345/ /pubmed/17891315 http://dx.doi.org/10.1100/tsw.2007.241 Text en Copyright © 2007 David S. Finley et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Finley, David S.
Beck, Shawn
Szabo, Richard J.
Bipolar Saline TURP for Large Prostate Glands
title Bipolar Saline TURP for Large Prostate Glands
title_full Bipolar Saline TURP for Large Prostate Glands
title_fullStr Bipolar Saline TURP for Large Prostate Glands
title_full_unstemmed Bipolar Saline TURP for Large Prostate Glands
title_short Bipolar Saline TURP for Large Prostate Glands
title_sort bipolar saline turp for large prostate glands
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901345/
https://www.ncbi.nlm.nih.gov/pubmed/17891315
http://dx.doi.org/10.1100/tsw.2007.241
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