Turis plasma vaporization prostate
Publicat în Cum să scapi rapid de prostatită? Turis prostate romania The long-term results of transurethral vaporization of the prostate using plasmakinetic energy. During the recent years, several alternatives were introduced, aiming to improve the performances of TURP and to reduce its complications, mainly consisting of bleeding, sepsis and TUR syndrome due to fluid absorption.
The average BPH size was 53 ml, the mean operating time was 28 minutes, Turis prostate romania median catheterization time was 24 hours and the mean hospital stay was 48 hours. The long-term follow-up of patients treated by PlasmaKinetic vaporization already demonstrated good stable results: IPSS improvement from 21 to 7.
The cost-effectiveness of this procedure seems superior to that of other minimally invasive alternatives, and the short-term results seem quite similar to those of conventional TURP.
Geavlete B. Bipolar plasma vaporization and NBI in large non-muscle invasive bladder tumors - better than the standard approach? Geavlete la Congresul Asociaţiei Engleze de Urologie.
Both cases were treated conservatively, with no further complications. Georgescu Turis prostate romania. Recent history Saved searches. Rezolvarea chirurgicala a adenomului turis plasma vaporization prostate prostata nu implica inlaturarea in intregime a prostatei si NU anuleaza riscul de a dezvolta cancer de prostata.
Tratamentul adenomului salin
Am vârsta de 48 de ani. In curând mă voi opera aici la spitalul nostru din oraş. TURIS plasma vaporization—initial Romanian experience with a new technology The cost-effectiveness of this procedure seems superior to that of other minimally invasive alternatives, and the short-term results seem quite similar to Turis prostate romania of conventional TURP.
Various therapeutic modalities have been described for patients with indications for surgery.
The most widely used procedures at the moment are represented by Holmium laser enucleation, Green Laser photoselective vaporization and bipolar transurethral resection.
Bipolar electrosurgical technology made transurethral electro-vaporization increasingly popular, especially after the development of Gyrus® PlasmaKinetic® Tissue Management System Gyrus Medical Ltd.
This technique already proved to be as effective as TURP for bladder outflow obstruction, as it provided good long-term results and implied fewer early complications [ 4 ]. In this study, we aimed to evaluate the efficiency, safety and short-term postoperative results of this new procedure.
The informed consent signed by all patients was included in the study.
Turis prostate romania
A standard investigative protocol which included general clinical examination with digital rectal examination DREblood tests, PSA, urine culture, IPSS and QoL score evaluation, uroflowmetry evaluating Qmax and abdominal ultrasonography were applied in all cases Fig.
The endoscopic procedures were performed under spinal anesthesia and by using saline continuous flow irrigation Fig. Several prostatic fragments were resected, eventually from any suspicious looking tissue area, thus providing substantial specimens for the pathological analysis, in order to confirm the benign nature of the lesion. Coagulation of any hemorrhagic sources was practically concomitant with the vaporization, while larger vessels hemostasis was achieved by reducing the power of the generator.
This parameter was set at W for vaporization, varying with tissue consistency, and at W for coagulation.
Also called benign prostatic hyperplasia BPH and prostatic hypertrophy, prostate gland enlargement can cause bothersome urinary symptoms. Untreated prostate gland enlargement can block the flow of urine out of the bladder and can cause bladder, urinary tract or kidney problems. Surgical procedures under study included TURis bipolar vaporization of the prostate, TURis bipolar resection of the prostate, and TURis bipolar hybrid procedure vaporization plus resection. Material şi metodă: perit un adenom suprarenalian. Descrierea metodologiei inclusive infrastructura.
The average BPH size was 53 ml range ml. The mean operating time was 28 minutes range minutes Fig. The urethral catheter was removed after a median period of 24 hours range hoursand the medium hospital stay was 48 hours range hours. The pre- and cum se trateaza prostatita hemoglobin level was No patient required blood transfusions or re-catheterization, and there were no major intra- or postoperative complications.
There were no cases of urinary tract infection or sepsis, acute urinary retention, prostatic capsule perforation, profound thermal lesions, significant bleeding or clot retention Fig. One patient presented minor postoperative hematuria and another one, moderate dysuria after catheter removal.
No acute urinary retention, urinary incontinence or significant hematuria occurred during the follow-up period. Despite the fact that conventional monopolar TURP remains the first line treatment option in prostates of ml, plasma energy in a saline environment is mentioned as a viable alternative in clinical trials [ 3 ].
Plasma vaporization occurs by direct gentle contact with the tissue surface, and performs concomitant hemostasis Fig. Technically speaking, the endoscopic armamentarium proved easy to use, and the general learning curve of the procedure, remarkably short increased efficiency after the first 5 interventions.
During the entire operating time, visibility remained excellent, due to the lack of bleeding turis plasma vaporization prostate to the high quality of the endoscopic images Fig. Subjectively, this type of vaporization did not alter the visual characteristics of the tissues, enabling the surgeon to differentiate between the adenomatous tissue, the muscular fibers turis plasma vaporization prostate the prostatic capsula and the anatomical boundaries of the operating area with increased accuracy.
At the end of the procedure, turis plasma vaporization prostate vaporization area emphasized a remarkably smooth surface and sharp margins, with no irregularities or debris Fig.
The power of the generator was adapted to tissue characteristics and consistency, providing the surgeon additional technical flexibility: W for fibrous tissue, W for average BPH tissue, W for remaining BPH small fragments close to the capsule or apex and W for coagulation. Patients included in the study groups presented similar baseline characteristics.
The median prostate volume was higher in our study 53 ml versus 42 mlthe operative time was shorter 28 minutes versus 55 minutesand the catheterization time and hospital stay were also reduced 24 versus 72 hours and 48 versus 72 hours, respectively [ 5 ].
Although our study group was rather small, early results predicted significant progresses in terms of short-term outcome for TURIS-PVP in comparison to its predecessor. According to an extensive study, voiding parameters in patients with initially similar obstructive profile and prostate volume emphasized a Qmax of The mean operating time was The mean hospital unde te doare rinichiul for TURP patients was 8 days [ 6 ].
From this perspective as well, TURIS-PVP seems to bring quite an improvement, as the mean operating time in our study was 28 minutes for an average prostate volume of 53 ml, with a mean hospital stay of 2 days.
Rezecția tură bipolară a adenomului prostatic
It is important to mention that some stages of the conventional procedure are significantly reduced hemostasis becomes practically concomitant with the actual vaporization, the few resected tissue fragments are quickly evacuatedso the actual vaporization basically occupies the great majority of the operating time, thus increasing the efficiency of the procedure in comparison to TURP.
The fact that none of these complications occurred in our series remains significant, regardless of the small number of cases included in the study. Due to the rather resembling type of technique, it may be useful to make a comparison between TURIS-PVP and a strongly emerging and much popular procedure, potassium-titanyl-phosphate KTP photoselective laser vaporization prostatectomy.
In all respects of efficacy and short-term postoperative outcomes, TURIS-PVP seems to be superior mean prostate volume 53 ml versus 43 ml, mean operative time 28 minutes versus 53 minutes, mean catheter removal time 24 hours versus The above mentioned data is summarized in Table 1 and Table 2 in order to make an adequate comparison between these 4 therapeutic approaches. Qmax increased at TURIS-PVP represents a valuable endoscopic treatment alternative for BPH patients, with good efficacy, reduced morbidity, satisfactory follow-up parameters and fast postoperative recovery.
The short hospital stay, reduced the rate of complications, virtually inexistent intra- and postoperative bleeding, short period of catheterization and satisfactory follow-up features IPSS, QoL, Qmax and RV are strong arguments in favor of this new technology.
Future studies, including cu picături de prostatită turis plasma vaporization prostate turis plasma vaporization prostate cases, are due to establish the long-term advantages and general viability of the method.
Ther Adv Urol5 201 Apr Free to read.
Recent Activity. B Geavlete Sf. Geavlete B 1.
citeste tot articolul
Richard A. Santucci, specialist-in-chief at Detroit Medical Center, who was not involved in the studies. In the TUR syndrome, absorption of large volumes of bladder irrigation fluid results in hyponatremia. In one study, Dr. Two patients in the TURP group needed recatheterization, but during the two year follow-up, there was no difference in reoperation rate, maximum urinary flow rate, or International Prostate Symptoms Scores.
Chen and colleagues conclude.
Michael J. The answer is nuanced, as Samuel I. More in Family Turis prostate romania. Two randomized controlled trials, published online on May 12 and 28 turis plasma vaporization prostate the British Journal of Urology International, now show that bipolar transurethral resection in saline and saline plasma vaporization, romajia, may be superior alternatives.
Santucci, prostats at Detroit Medical Center, who was not involved in the studies.
Bipolar electrosurgical approach represents an increasingly acknowledged technology in the treatment of benign prostatic hyperplasia BPHand a promising alternative to standard transurethral resection of the prostate TURP. In this study, we aimed to evaluate a new method, transurethral resection in saline — plasma vaporization of the prostate TURIS-PVPby determining its Turis prostate romania, safety and short-term postoperative results.
Turis prostate romania patient required blood transfusions or re-catheterization, prostste there were no significant intra- or Tudis complications. Various therapeutic modalities have been described for patients with indications romaina surgery.
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