Eur Urol Suppl 2010;9(2):279
884
COMPARISON BETWEEN BIPOLAR VERSUS
MONOPOLAR TRANSURETHRAL RESECTION OF THE
PROSTATE: A RANDOMISED PROSPECTIVE TRIAL
*XOXU'0*RK0+&$QQLQJ--2NHNH$$*LOEHUW+:.LQGHU5% 7LPRQH\$*
1Bristol Urological Institute, Dept. of Urology, Bristol, United Kingdom, 2Gloucestershire Royal Hospital, Dept. of Urology, Gloucester, United Kingdom, 3Cheltenham General Hospital, Dept. of Urology, Cheltenham, United Kingdom
Introduction & Objectives: 2XUVWXG\DLPHGWRFRPSDUHWKHHᚑFDF\RIELSRODU
YHUVXVPRQRSRODU7853DQGWKHLQFLGHQFHRI7856\QGURPHZKLFKLVDUHFRJQLVHG FRPSOLFDWLRQRI7853GHᚏQHGDVDSRVWRSHUDWLYHVHUXPVRGLXPRIPPRO/ ZLWKDWOHDVWWZRV\PSWRPVZKLFKFDQEHFDUGLRORJLFDORUQHXURORJLFDO5HVHFWLRQV ZHUHSHUIRUPHGXVLQJWKH2O\PSXV6XUJ0DVWHU785LVWUDQVXUHWKUDOUHVHFWLRQLQ VDOLQHV\VWHP
Material & Methods: SDWLHQWVZHUHUHFUXLWHGLQWRWKLVPXOWLFHQWUHSURVSHFWLYH
UDQGRPLVHGVWXG\SDWLHQWVXQGHUZHQW7853XVLQJVDOLQHLUULJDWLRQELSRODU DQG SDWLHQWV ZLWK WKH VWDQGDUG JO\FLQH LUULJDWLRQ PRQRSRODU %RWK WKHVH JURXSVZHUHZHOOPDWFKHGIRUDJHYV\HDUVS DQG7586YROXPHV PHDVXUHGSUHRSHUDWLYHO\YVFFS 7KHᚏUVWSDWLHQWVLQWKH ELSRODUDQGLQWKHPRQRSRODUDUPZHUHIROORZHGXSZLWK,366VFRUHVDQGᚐRZ UDWHVDWDQGPRQWKV
Results: 5HVHFWLRQ WLPHV YV PLQ S DQG WKH QXPEHU RI FDSVXODU
SHUIRUDWLRQV YV S ZHUH FRPSDUDEOH LQ ERWK WKH JURXSV ,Q WKH WKH PRQRSRODUDUPᚐXLGDEVRUSWLRQZDVKLJKHUYVPOSZLWKDORZHU LPPHGLDWH SRVWRSHUDWLYH VRGLXP YV PPRO/ S DQG VHUXP RVPRODOLW\YVP2VP/S7KUHHSDWLHQWVGHYHORSHG785 V\QGURPHDEVRUELQJDQDYHUDJHRI/2QHSDWLHQWKDGVRGLXPRIPPRO/ ZLWKK\SRWHQVLRQDQGQLQHSDWLHQWVGHYHORSHGDWOHDVWWZRV\PSWRPVEXW DQRQGLDJQRVWLFIDOOLQVRGLXP,QWKHELSRODUDUPWKUHHSDWLHQWVKDGV\PSWRPV RQO\ZLWKPLQLPDOFKDQJHLQVHUXPVRGLXP:LWKUHJDUGVWRWKHHᚑFDF\SDWLHQWVLQ ERWKWKHDUPVKDGFRPSDUDEOHLPSURYHPHQWVLQ,366S 4R/VFRUHVS 4PD[S DQGUHVLGXDOYROXPHVS DWWKHHQGRIIROORZXS
Conclusions: %LSRODUDQGPRQRSRODUUHVHFWLRQVKDGVLPLODUHᚑFDF\DWPRQWKV
7KHUHZDVQRLQFLGHQFHRI785V\QGURPHLQWKHELSRODUDUPVXJJHVWLQJWKDWVDOLQH UHVHFWLRQRIWKHSURVWDWHLVVDIHU
885
TURIS PLASMA VAPORIZATION OF THE PROSTATE
VERSUS STANDARD TURP: “THE BETTER CHOICE” IN
BPH?
*HDYOHWH%0XOWHVFX'5'UDJXWHVFX0'-HFX0*HRUJHVFX'$ *HDYOHWH3$
Saint John Clinical Emergency Hospital, Dept. of Urology, Bucharest, Romania
Introduction & Objectives: ,Q WKLV VWXG\ ZH DLPHG WR HYDOXDWH WKH HᚑFLHQF\
VDIHW\ DQG VKRUWWHUP RXWFRPH RI WUDQVXUHWKUDO UHVHFWLRQ LQ VDOLQH ದ SODVPD YDSRUL]DWLRQ RI WKH SURVWDWH 785LV393 DQG WR FRPSDUH LW WR WKH VWDQGDUG WUDQVXUHWKUDOUHVHFWLRQRIWKHSURVWDWH7853
Material & Methods: $ WRWDO RI SDWLHQWV ZLWK EHQLJQ SURVWDWLF K\SHUSODVLD
%3+ 4PD[ POV ,366 ! DQG SURVWDWH YROXPH EHWZHHQ DQG POZHUHHQUROOHGLQDSURVSHFWLYHUDQGRPL]HGWULDO$OOSDWLHQWVZHUHHYDOXDWHG SUHRSHUDWLYHO\DQGDWDQGPRQWKVDIWHUVXUJHU\E\,QWHUQDWLRQDO3URVWDWH 6\PSWRP6FRUH,366TXDOLW\RIOLIHVFRUH42/PD[LPXPᚐRZUDWH4PD[DQG SRVWYRLGLQJUHVLGXDOXULQDU\YROXPH59
Results: 3DWLHQWVIURPERWKVHULHVHPSKDVL]HGVLPLODUSUHRSHUDWLYHSDUDPHWHUV
785LV393 DQG 7853 ZHUH VXFFHVVIXOO\ SHUIRUPHG LQ DOO FDVHV DQG UHVSHFWLYHO\ 7KH RSHUDWLRQ WLPH FDWKHWHUL]DWLRQ SHULRG DQG KRVSLWDO VWD\ ZHUH VLJQLᚏFDQWO\ VKRUWHU IRU 785LV393 SDWLHQWV YHUVXV PLQXWHV ದ S YHUVXVKRXUVದSDQGYHUVXVKRXUVದS UHVSHFWLYHO\7KHDQGPRQWKVIROORZXSUHYHDOHGVXSHULRULPSURYHPHQWVIRU 785LV393,366ದYHUVXVದSDQG4PD[ದYHUVXVPOVದS DWPRQWK,366ದYHUVXVದSDQG4PD[ದYHUVXV POVದSDWPRQWKV,366ದYHUVXVದSDQG4PD[ದYHUVXV POVDWPRQWKVದS
Conclusions: 785LV393UHSUHVHQWVDYDOXDEOHHQGRVFRSLFWUHDWPHQWDOWHUQDWLYH
IRU%3+SDWLHQWVZLWKVXSHULRUHᚑFDF\VKRUWWHUPUHVXOWVDQGFRPSOLFDWLRQVಬUDWH E\FRPSDULVRQWRPRQRSRODU7853
886
ENDOSCOPIC RESECTION OF PROSTATE USING
BIPOLAR SYSTEM (GYRUS PLASMA KINETIC): OVER
2000 PROCEDURES WITH 5 YEARS FOLLOW-UP.
CRITICAL REVIEW OF OUR DEPARTMENT EXPERIENCE
*LXOLDQHOOL53LVDQWL)*HQWLOH%&%UXQRUL60DYLOOD/$OEDQHVL/ $WWLVDQL)6KHVWDQL79LQFHQWL*
Villa Tiberia, Dept. of Surgery, Rome, Italy
Introduction & Objectives: 7853UHSUHVHQWWKHJROGVWDQGDUGRI/876WUHDWPHQW
IRU%22FDXVHGE\%3+7KHXVHRI*\UXV3ODVPD.LQHWLFV\VWHPZRUNLQJZLWK VDOLQHVROXWLRQVLJQLᚏFDQWO\UHGXFHGWKHFODVVLFDOFRPSOLFDWLRQVRIWKHPRQRSRODU 0RQWKV6H[XDOO\DFWLYH
Q 6H[XDOO\DFWLYHVSRXVHUHVSRQVHQ >1R VSRXVHRUQRUHVSRQVH @
6SRXVHDJUHHVQ
6SRXVHGLᚎHUVQ
0RQWKV6H[XDOO\
LQDFWLYHQ 6H[XDOO\LQDFWLYHVSRXVHUHVSRQVHQ >1RVSRXVHRUQR UHVSRQVH @
6SRXVHDJUHHVQ
6SRXVHGLᚎHUVQ
<HDUV6H[XDOO\DFWLYH
Q 6H[XDOO\DFWLYHVSRXVHUHVSRQVHQ >1R VSRXVHRUQRUHVSRQVH @
6SRXVHDJUHHVQ
6SRXVHGLᚎHUVQ
<HDUV6H[XDOO\LQDFWLYH
Q 6H[XDOO\LQDFWLYHVSRXVHUHVSRQVHQ >1RVSRXVHRUQR UHVSRQVH @
6SRXVHDJUHHVQ
6SRXVHGLᚎHUVQ
<HDUV6H[XDOO\DFWLYH
Q 6H[XDOO\DFWLYHVSRXVHUHVSRQVHQ >1R VSRXVHRUQRUHVSRQVH @
6SRXVHDJUHHVQ
6SRXVHGLᚎHUVQ
<HDUV6H[XDOO\
LQDFWLYHQ 6H[XDOO\LQDFWLYHVSRXVHUHVSRQVHQ >1RVSRXVHRUQR UHVSRQVH @
6SRXVHDJUHHVQ
6SRXVHDJUHHVQ
Conclusions: (UHFWLOHGLᚑFXOWLHVIUHTXHQWO\SUHFHGH78533UHRSHUDWLYHVH[XDO
G\VIXQFWLRQFDQEHLPSURYHGE\7853/RQJWHUPVH[XDOIXQFWLRQFRQWLQXHVWREH PDLQWDLQHGIROORZLQJ78537KLVᚏQGLQJZDVFRUURERUDWHGE\WKHSDUWQHUVDQGWKLV ZDVVWDWLVWLFDOO\VLJQLᚏFDQW>SDUWQHURUVSRXVH@
883
DOES CHANGES OF SERUM PROSTATE SPECIFIC
ANTIGEN CONCENTRATION AFTER LASER
PROSTATECTOMY REFLECT THE COMPLETENESS
OF ADENOMA RESECTION? COMPARISON BETWEEN
KTP-PVP AND HOLMIUM LASER ENUCLEATION OF THE
PROSTATE (HOLEP)
.RR'+<L-6&KR0&.X-+.LP6:3DLFN-6
Seoul National University College of Medicine, Dept. of Urology, Seoul, South Korea
Introduction & Objectives: 7KHDLPRIWKLVVWXG\ZDVWRGHWHUPLQHWKHUHODWLRQVKLS
EHWZHHQGLPLQXWLRQLQVHUXPSURVWDWLFVSHFLᚏFDQWLJHQ36$DQGWKHDPRXQWRI UHPRYHGDGHQRPDWRXVWLVVXHIROORZLQJSRWDVVLXPWLWDQ\OSKRVSKDWHSKRWRVHOHFWLYH YDSRUL]DWLRQRIWKHSURVWDWH393RUKROPLXPODVHUHQXFOHDWLRQRIWKHSURVWDWH +R/(3DQGWRFRPSDUHLWEHWZHHQ393DQG+R/(3
Material & Methods: SDWLHQWVZKRXQGHUZHQW393RU+R/(3E\RQH
VXUJHRQ ZHUH LQFOXGHG LQ WKLV UHWURVSHFWLYH VWXG\ 6HUXP 36$ ZDV GHWHUPLQHG SUHRSHUDWLYHO\DQGDWPRQWKVIROORZLQJVXUJHU\$IWHUWKH+R/(3DOOUHWULHYHG WLVVXH ZDV FROOHFWHG DQG ZHLJKHG $V IRU WKH 393 WKH YDSRUL]HG YROXPH ZDV FDOFXODWHGDVWKHSUHRSHUDWLYHYROXPHPLQXVWKHLPPHGLDWHSRVWRSHUDWLYHYROXPH SOXVWKHYROXPHGHIHFWXVLQJWKH7586
Results: )RUWKH393DQG+R/(3JURXSPHDQs6'SUHRSHUDWLYHWRWDOSURVWDWH
DQGWUDQVLWLRQ]RQHYROXPHZHUHsPODQGsPODQGsPO DQGsPOUHVSHFWLYHO\0HGLDQYDSRUL]HGYROXPHLQWKH393JURXSDQG PHGLDQ HQXFOHDWHG ZHLJKW LQ WKH +R/(3 JURXS ZHUH J ,QWHUTXDUWLOH UDQJH ,45DQGJ,45UHVSHFWLYHO\ZKLFKZDVQRWVLJQLᚏFDQWO\ GLᚎHUHQW$OVRWKHUHPRYHGSURSRUWLRQYDSRUL]HGYROXPHRUHQXFOHDWHGZHLJKW WRWDOSURVWDWHYROXPHZDV,45LQWKH393JURXSDQG,45 LQ WKH +R/(3 JURXS ZLWKRXW VLJQLᚏFDQW GLᚎHUHQFH EHWZHHQ WKH WZR JURXSV,QWKH393JURXSPHGLDQVHUXP36$OHYHOVZHUHUHGXFHGIURPWR QJPO,QWKH+R/(3JURXSPHGLDQVHUXP36$OHYHOVZHUHUHGXFHGIURPWR QJPO0HGLDQ36$UHGXFWLRQLQWKH393JURXSDQG+R/(3JURXSZDV DQGZLWKRXWQRVLJQLᚏFDQWGLᚎHUHQFHEHWZHHQWKHWZRJURXSV0HGLDQ36$ UHGXFWLRQIRUHYHU\JUDPRIWLVVXHUHPRYHGZDVQJPOJLQWKH393JURXSDQG QJPOJLQWKH+R/(3JURXSZLWKRXWVLJQLᚏFDQWGLᚎHUHQFHEHWZHHQWKHWZR,Q WKH393JURXSWKH36$GHFUHDVHVLJQLᚏFDQWO\FRUUHODWHGZLWKSUHRSHUDWLYH36$ OHYHOU 36$GHQVLW\U WRWDOSURVWDWHYROXPHU WUDQVLWLRQ ]RQHYROXPHU WKHUHPRYHGYROXPHU DQGWKHUHPRYHGSURSRUWLRQ U 6LPLODUO\LQWKH+R/(3JURXSWKH36$GHFUHDVHVLJQLᚏFDQWO\FRUUHODWHG ZLWKSUHRSHUDWLYH36$OHYHOU 36$GHQVLW\U WRWDOSURVWDWHYROXPH U WUDQVLWLRQ]RQHYROXPHU WKHUHPRYHGYROXPHU DQGWKH UHPRYHGSURSRUWLRQU
Conclusions: 2XUGDWDVXJJHVWVWKDWWKHJUHDWHUUHGXFWLRQRIVHUXP36$OHYHO
