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Short-stay transurethral prostate surgery: A randomized controlled trial comparing transurethral resection in saline bipolar transurethral vaporization of the prostate with monopolar transurethral resection
Objectives The aim of the present study was to establish the safety and efficacy profile of transurethral resection in saline (TURis) bipolar vaporization of the prostate relative to monopolar transurethral resection of prostate (TURP) and to test the hospital stay efficiency after TURis vaporizatio...
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| Published in: | Asian journal of endoscopic surgery 2015-08, Vol.8 (3), p.316-322 |
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| Main Authors: | , , , , , , , |
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| cites | cdi_FETCH-LOGICAL-c4197-24b75d6bd7d079a4767a837dc96f88bf1b87a5c076c31df4555b96cdcb279c8b3 |
| container_end_page | 322 |
| container_issue | 3 |
| container_start_page | 316 |
| container_title | Asian journal of endoscopic surgery |
| container_volume | 8 |
| creator | Yee, Chi-hang Wong, Joseph Hon-ming Chiu, Peter Ka-fung Chan, Chi-kwok Lee, Wai-man Tsu, James Hok-leung Teoh, Jeremy Yuen-chun Ng, Chi-fai |
| description | Objectives
The aim of the present study was to establish the safety and efficacy profile of transurethral resection in saline (TURis) bipolar vaporization of the prostate relative to monopolar transurethral resection of prostate (TURP) and to test the hospital stay efficiency after TURis vaporization.
Materials and Methods
in this multicenter, double‐blinded, prospective, randomized controlled trial, men aged 50–75 years old were randomized into two arms: TURis bipolar vaporization and monopolar TURP. Intraoperative details, perioperative parameters, and postoperative functional outcomes were assessed after intervention. Follow‐up with symptom score assessment, prostate volume measurement, and uroflowmetry were performed at 3 and 6 months.
Results
Eighty‐four patients (mean age, 65.0 ± 5.6 years) were randomized into each study arm. TURis bipolar vaporization had a longer operative time than monopolar TURP (51.6 ± 24.5 vs 38.5 ± 20.3 min, P |
| doi_str_mv | 10.1111/ases.12197 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1707553810</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3786885221</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4197-24b75d6bd7d079a4767a837dc96f88bf1b87a5c076c31df4555b96cdcb279c8b3</originalsourceid><addsrcrecordid>eNp9kV1rFDEUhgex2A-98QdIwBsRpk0mXzPeLbXWQmkLq3gZkkymmzqTTJOM7fZH-pvMdtsVFjE3ORye8543eYviLYKHKJ8jGU08RBVq-ItiD3Fal7RB8OWmhtVusR_jDYSMI4JfFbsVg6TCmO0Vv-cLH1IZk1yCFKSLUzBpEWQPxuBzNxmQW9cmLD-BGchA6wf7YFqgvUvB930uU7CZ134YZbDueksnmGh0st4B60CUvXUGKDv6XoYt8pccfbAP8hH2HUgL89fFnU0LMHjn_zW52fG62OlkH82bp_ug-P7l5Nvx1_L88vTseHZeapK_qayI4rRlquUt5I0knHFZY97qhnV1rTqkai6phpxpjNqOUEpVw3SrVcUbXSt8UHxY62Z_t5OJSQw2atP30hk_RYE45JTiGsGMvt9Cb_wUXHa3ohjhFaF1pj6uKZ0fHIPpxBjsIMNSIChWKYtVyuIx5Qy_e5Kc1GDaDfocawbQGrizvVn-R0rM5ifzZ9FyPWNjMvebGRl-CsYxp-LHxam4YFfwc3VVC4L_AIJzySQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1706472458</pqid></control><display><type>article</type><title>Short-stay transurethral prostate surgery: A randomized controlled trial comparing transurethral resection in saline bipolar transurethral vaporization of the prostate with monopolar transurethral resection</title><source>Wiley</source><creator>Yee, Chi-hang ; Wong, Joseph Hon-ming ; Chiu, Peter Ka-fung ; Chan, Chi-kwok ; Lee, Wai-man ; Tsu, James Hok-leung ; Teoh, Jeremy Yuen-chun ; Ng, Chi-fai</creator><creatorcontrib>Yee, Chi-hang ; Wong, Joseph Hon-ming ; Chiu, Peter Ka-fung ; Chan, Chi-kwok ; Lee, Wai-man ; Tsu, James Hok-leung ; Teoh, Jeremy Yuen-chun ; Ng, Chi-fai</creatorcontrib><description>Objectives
The aim of the present study was to establish the safety and efficacy profile of transurethral resection in saline (TURis) bipolar vaporization of the prostate relative to monopolar transurethral resection of prostate (TURP) and to test the hospital stay efficiency after TURis vaporization.
Materials and Methods
in this multicenter, double‐blinded, prospective, randomized controlled trial, men aged 50–75 years old were randomized into two arms: TURis bipolar vaporization and monopolar TURP. Intraoperative details, perioperative parameters, and postoperative functional outcomes were assessed after intervention. Follow‐up with symptom score assessment, prostate volume measurement, and uroflowmetry were performed at 3 and 6 months.
Results
Eighty‐four patients (mean age, 65.0 ± 5.6 years) were randomized into each study arm. TURis bipolar vaporization had a longer operative time than monopolar TURP (51.6 ± 24.5 vs 38.5 ± 20.3 min, P < 0.001). Postoperatively, the TURis group had a shorter catheter time (33.6 ± 23.7 vs 40.8 ± 29.4 h, P = 0.013) and a shorter length of hospital stay (43.14 ± 18.79 vs 52.33 ± 30.58 h, P = 0.013). The postoperative dysuria score was higher in the TURis vaporization arm. There was no statistically significant difference between the two arms in terms of hemoglobin change and postoperative complication. No significant difference was observed in quality of life score at 3 and 6 months.
Conclusions
TURis bipolar vaporization of the prostate is a safe and comparable alternative to monopolar TURP. It leads to a reduction in both catheter time and length of hospital stay.</description><identifier>ISSN: 1758-5902</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.12197</identifier><identifier>PMID: 26042336</identifier><language>eng</language><publisher>Japan: Blackwell Publishing Ltd</publisher><subject>Aged ; Benign Prostatic Hyerplasia (BPH) ; Double-Blind Method ; Follow-Up Studies ; Humans ; Length of Stay ; Logistic Models ; lower urinary tract symptoms ; Male ; Middle Aged ; Operative Time ; Prospective Studies ; Prostatic Hyperplasia - surgery ; Sodium Chloride ; Transurethral Resection of Prostate - methods ; Treatment Outcome ; TURP ; Volatilization</subject><ispartof>Asian journal of endoscopic surgery, 2015-08, Vol.8 (3), p.316-322</ispartof><rights>2015 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd</rights><rights>2015 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.</rights><rights>Copyright © 2015 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4197-24b75d6bd7d079a4767a837dc96f88bf1b87a5c076c31df4555b96cdcb279c8b3</citedby><cites>FETCH-LOGICAL-c4197-24b75d6bd7d079a4767a837dc96f88bf1b87a5c076c31df4555b96cdcb279c8b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26042336$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yee, Chi-hang</creatorcontrib><creatorcontrib>Wong, Joseph Hon-ming</creatorcontrib><creatorcontrib>Chiu, Peter Ka-fung</creatorcontrib><creatorcontrib>Chan, Chi-kwok</creatorcontrib><creatorcontrib>Lee, Wai-man</creatorcontrib><creatorcontrib>Tsu, James Hok-leung</creatorcontrib><creatorcontrib>Teoh, Jeremy Yuen-chun</creatorcontrib><creatorcontrib>Ng, Chi-fai</creatorcontrib><title>Short-stay transurethral prostate surgery: A randomized controlled trial comparing transurethral resection in saline bipolar transurethral vaporization of the prostate with monopolar transurethral resection</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>Objectives
The aim of the present study was to establish the safety and efficacy profile of transurethral resection in saline (TURis) bipolar vaporization of the prostate relative to monopolar transurethral resection of prostate (TURP) and to test the hospital stay efficiency after TURis vaporization.
Materials and Methods
in this multicenter, double‐blinded, prospective, randomized controlled trial, men aged 50–75 years old were randomized into two arms: TURis bipolar vaporization and monopolar TURP. Intraoperative details, perioperative parameters, and postoperative functional outcomes were assessed after intervention. Follow‐up with symptom score assessment, prostate volume measurement, and uroflowmetry were performed at 3 and 6 months.
Results
Eighty‐four patients (mean age, 65.0 ± 5.6 years) were randomized into each study arm. TURis bipolar vaporization had a longer operative time than monopolar TURP (51.6 ± 24.5 vs 38.5 ± 20.3 min, P < 0.001). Postoperatively, the TURis group had a shorter catheter time (33.6 ± 23.7 vs 40.8 ± 29.4 h, P = 0.013) and a shorter length of hospital stay (43.14 ± 18.79 vs 52.33 ± 30.58 h, P = 0.013). The postoperative dysuria score was higher in the TURis vaporization arm. There was no statistically significant difference between the two arms in terms of hemoglobin change and postoperative complication. No significant difference was observed in quality of life score at 3 and 6 months.
Conclusions
TURis bipolar vaporization of the prostate is a safe and comparable alternative to monopolar TURP. It leads to a reduction in both catheter time and length of hospital stay.</description><subject>Aged</subject><subject>Benign Prostatic Hyerplasia (BPH)</subject><subject>Double-Blind Method</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Logistic Models</subject><subject>lower urinary tract symptoms</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Prospective Studies</subject><subject>Prostatic Hyperplasia - surgery</subject><subject>Sodium Chloride</subject><subject>Transurethral Resection of Prostate - methods</subject><subject>Treatment Outcome</subject><subject>TURP</subject><subject>Volatilization</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp9kV1rFDEUhgex2A-98QdIwBsRpk0mXzPeLbXWQmkLq3gZkkymmzqTTJOM7fZH-pvMdtsVFjE3ORye8543eYviLYKHKJ8jGU08RBVq-ItiD3Fal7RB8OWmhtVusR_jDYSMI4JfFbsVg6TCmO0Vv-cLH1IZk1yCFKSLUzBpEWQPxuBzNxmQW9cmLD-BGchA6wf7YFqgvUvB930uU7CZ134YZbDueksnmGh0st4B60CUvXUGKDv6XoYt8pccfbAP8hH2HUgL89fFnU0LMHjn_zW52fG62OlkH82bp_ug-P7l5Nvx1_L88vTseHZeapK_qayI4rRlquUt5I0knHFZY97qhnV1rTqkai6phpxpjNqOUEpVw3SrVcUbXSt8UHxY62Z_t5OJSQw2atP30hk_RYE45JTiGsGMvt9Cb_wUXHa3ohjhFaF1pj6uKZ0fHIPpxBjsIMNSIChWKYtVyuIx5Qy_e5Kc1GDaDfocawbQGrizvVn-R0rM5ifzZ9FyPWNjMvebGRl-CsYxp-LHxam4YFfwc3VVC4L_AIJzySQ</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Yee, Chi-hang</creator><creator>Wong, Joseph Hon-ming</creator><creator>Chiu, Peter Ka-fung</creator><creator>Chan, Chi-kwok</creator><creator>Lee, Wai-man</creator><creator>Tsu, James Hok-leung</creator><creator>Teoh, Jeremy Yuen-chun</creator><creator>Ng, Chi-fai</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201508</creationdate><title>Short-stay transurethral prostate surgery: A randomized controlled trial comparing transurethral resection in saline bipolar transurethral vaporization of the prostate with monopolar transurethral resection</title><author>Yee, Chi-hang ; Wong, Joseph Hon-ming ; Chiu, Peter Ka-fung ; Chan, Chi-kwok ; Lee, Wai-man ; Tsu, James Hok-leung ; Teoh, Jeremy Yuen-chun ; Ng, Chi-fai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4197-24b75d6bd7d079a4767a837dc96f88bf1b87a5c076c31df4555b96cdcb279c8b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Benign Prostatic Hyerplasia (BPH)</topic><topic>Double-Blind Method</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Logistic Models</topic><topic>lower urinary tract symptoms</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Prospective Studies</topic><topic>Prostatic Hyperplasia - surgery</topic><topic>Sodium Chloride</topic><topic>Transurethral Resection of Prostate - methods</topic><topic>Treatment Outcome</topic><topic>TURP</topic><topic>Volatilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yee, Chi-hang</creatorcontrib><creatorcontrib>Wong, Joseph Hon-ming</creatorcontrib><creatorcontrib>Chiu, Peter Ka-fung</creatorcontrib><creatorcontrib>Chan, Chi-kwok</creatorcontrib><creatorcontrib>Lee, Wai-man</creatorcontrib><creatorcontrib>Tsu, James Hok-leung</creatorcontrib><creatorcontrib>Teoh, Jeremy Yuen-chun</creatorcontrib><creatorcontrib>Ng, Chi-fai</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yee, Chi-hang</au><au>Wong, Joseph Hon-ming</au><au>Chiu, Peter Ka-fung</au><au>Chan, Chi-kwok</au><au>Lee, Wai-man</au><au>Tsu, James Hok-leung</au><au>Teoh, Jeremy Yuen-chun</au><au>Ng, Chi-fai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short-stay transurethral prostate surgery: A randomized controlled trial comparing transurethral resection in saline bipolar transurethral vaporization of the prostate with monopolar transurethral resection</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2015-08</date><risdate>2015</risdate><volume>8</volume><issue>3</issue><spage>316</spage><epage>322</epage><pages>316-322</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>Objectives
The aim of the present study was to establish the safety and efficacy profile of transurethral resection in saline (TURis) bipolar vaporization of the prostate relative to monopolar transurethral resection of prostate (TURP) and to test the hospital stay efficiency after TURis vaporization.
Materials and Methods
in this multicenter, double‐blinded, prospective, randomized controlled trial, men aged 50–75 years old were randomized into two arms: TURis bipolar vaporization and monopolar TURP. Intraoperative details, perioperative parameters, and postoperative functional outcomes were assessed after intervention. Follow‐up with symptom score assessment, prostate volume measurement, and uroflowmetry were performed at 3 and 6 months.
Results
Eighty‐four patients (mean age, 65.0 ± 5.6 years) were randomized into each study arm. TURis bipolar vaporization had a longer operative time than monopolar TURP (51.6 ± 24.5 vs 38.5 ± 20.3 min, P < 0.001). Postoperatively, the TURis group had a shorter catheter time (33.6 ± 23.7 vs 40.8 ± 29.4 h, P = 0.013) and a shorter length of hospital stay (43.14 ± 18.79 vs 52.33 ± 30.58 h, P = 0.013). The postoperative dysuria score was higher in the TURis vaporization arm. There was no statistically significant difference between the two arms in terms of hemoglobin change and postoperative complication. No significant difference was observed in quality of life score at 3 and 6 months.
Conclusions
TURis bipolar vaporization of the prostate is a safe and comparable alternative to monopolar TURP. It leads to a reduction in both catheter time and length of hospital stay.</abstract><cop>Japan</cop><pub>Blackwell Publishing Ltd</pub><pmid>26042336</pmid><doi>10.1111/ases.12197</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1758-5902 |
| ispartof | Asian journal of endoscopic surgery, 2015-08, Vol.8 (3), p.316-322 |
| issn | 1758-5902 1758-5910 |
| language | eng |
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| source | Wiley |
| subjects | Aged Benign Prostatic Hyerplasia (BPH) Double-Blind Method Follow-Up Studies Humans Length of Stay Logistic Models lower urinary tract symptoms Male Middle Aged Operative Time Prospective Studies Prostatic Hyperplasia - surgery Sodium Chloride Transurethral Resection of Prostate - methods Treatment Outcome TURP Volatilization |
| title | Short-stay transurethral prostate surgery: A randomized controlled trial comparing transurethral resection in saline bipolar transurethral vaporization of the prostate with monopolar transurethral resection |
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