AI Summary & Key Takeaways
AI InsightTransurethral electrovaporisation appears as an effective and reliable method of treatment for benign prostatic hyperplasia with less bleeding, shorter time to catheter removal and shorter hospital stay.
📌 3 Key Takeaways
Abstract
Transurethral Electrovaporisation Versus Transurethral Resection Of The Prostate In Surgical Treatment Of Benign Prostatic Hyperplasia-In this study, 19 patients with benign prostatic hyperplasia treated by transurethral electrovaporisation of the prostate were evaluated in terms of efficacy and complications, and tissue specimens for histopathological examination were compared to those obtained in 20 patients who underwent standard transurethral resections and served as controls. The amount of blood loss as determined by measuring pre- and postoperative hematocrite values was found to be significantly loiver in 19 patients who underwent transurethral vaporisation. Although the operating time was longer in the electrovaporisation group, time to catheter removal was shorter than that in the transurethral resection group. The groups were similar with regard to postoperative decrease in symptom scores and residual urine volumes. Tissue samples obtained with transurethral electrovaporisation had rather less cautery artifacts that might be an advantage for histopathological examination. Transurethral electrovaporisation appears as an effective and reliable method of treatment for benign prostatic hyperplasia with less bleeding, shorter time to catheter removal and shorter hospital stay.
Özet
Bu gali§mada, transuretral vaporizasypn ile tedavi edilen 19 benign prostat hiperplazili olgu tedavi etkinligi ve komplikasyonlar agisindan degerlehdirilmis, histopatolojik inceleme igin ahnan doku ornekleri, 20 benign prostat hiperplazili hastaya uygulanan klasik transuretraf prostat rezeksiyonu ile elde edilen doku ornekleri ile karsila§tmlmistir. Kanarha miktari, pre- ve post6|eratif hematokrit degerlerinde degisime bakilarak 6lgulmu§ ve transuretral elektrovaporizasyon yapilah 19 olguda istatistiksel olarak anlamh sekilde daha az bulunmu§tur. Operasyon sureleri elektrovaporizasyon yapilan grupta daha uzun olmakla birlikte kateter gekilme siiresi transuretcal rezeksiyon grubunda daha geg olarak belirlenmistir. Gruplardaki postoperatif semptom skoru duzelmesi ve reziduel idrar miktari azalmasi ise benzer bulunmu§tur. Qikanlan doku orneklerindeki koter etkisinin, elektrovaporizasyon'ile ahnan orneklerde transuretral rezeksiyon ile alinanlara gore daha az oldugu gorulmus ve bunun patolojik inceleme agisindan bir ustiinliik olabilecegi dij§unulmu§tur. Benign prostat hiperplazisinin cerrahi tedavisinde elektrovaporizasyonun, kanama miktannin daha az olmasi, kateter gekme suresinin ve dolayisiyla hastanede kalis suresinin kisa olmasi ve doku orneklerinde rastlanabilen koter etkilerinin minimal olmasi nedenleri ile urolog agisindan kolay ve guvenilir bir yontem oldugu kanisma varilrriistir.