Bipolar transurethral resection of the prostate ‐ technical modifications and early clinical experience

医学 前列腺 切除术 经尿道前列腺电切术 泌尿科 医学物理学 外科 内科学 癌症
作者
Jens Rassweiler,Michael Schulze,Christian Stock,Doğu Teber,Jean de la Rosette
出处
期刊:Minimally Invasive Therapy & Allied Technologies [Taylor & Francis]
卷期号:16 (1): 11-21 被引量:107
标识
DOI:10.1080/13645700601159410
摘要

The purpose of the study was to update the current modifications of transurethral resection of the prostate (TURP) using bipolar high frequency current and to report on our first own clinical experience. Based on a Medline search covering the period from January 2000 to September 2006 and our clinical experience with three different devices (VISTA‐ACMI, Gyrus, Storz), the technical basis of these modifications was described. In addition, an analysis of the actual outcome (handling, complications, morbidity) of bipolar TURP (n = 124) compared to a parallel series of monopolar TURP (N = 148) was carried out. Recently, five different modifications of bipolar resection devices (ACMI, Gyrus, Olympus, Storz, Wolf) have been introduced. Experimental and clinical data were available for four of these modifications (VISTA‐ACMI, Gyrus, Olympus, Storz). The devices differ in terms of modification of the passive electrode (two loops, single loop, resectoscope sheath). Bipolar technology allows the use of 0.9% sodium chloride (instead of glycine) as irrigant. In all bipolar devices, a slight prolongation was noted for initiation of the cut, with the VISTA showing the poorest cutting behaviour. Finest apical dissection could be performed with the Storz device. Phase III‐studies comparing bipolar and monopolar TURP showed advantages for bipolar concerning the rate of TUR‐syndrome/fluid absorption, bleeding, catheter time, whereas the resection speed was similar. In two studies using two different devices (Gyrus, Olympus) a higher rate of urethral strictures was detected. We conclude that TURP still represents the reference standard in the management of benign prostatic hyperplasia. Initial data suggest that bipolar technology is safe and effective. It may offer some advantages with respect to the reduction of TUR‐syndrome, less conductive trauma (i.e. tissue charring), cheaper irrigation solution, and a shorter catheter time. In addition to already existing phase III‐studies, larger randomized mulit‐institutional trials will have to substantiate these advantages.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
LHG完成签到,获得积分10
1秒前
ziying126发布了新的文献求助10
1秒前
orixero应助MXG采纳,获得30
2秒前
Owen应助高大山彤采纳,获得10
2秒前
小蘑菇应助等等采纳,获得10
3秒前
3秒前
Ing发布了新的文献求助10
3秒前
4秒前
lius发布了新的文献求助10
4秒前
5秒前
独角兽发布了新的文献求助30
5秒前
李家人应助wjx采纳,获得10
5秒前
可爱的函函应助哈哈采纳,获得10
6秒前
6秒前
123发布了新的文献求助10
6秒前
7秒前
cxzdm完成签到,获得积分10
7秒前
7秒前
肥肥完成签到,获得积分10
8秒前
小余完成签到,获得积分10
9秒前
9秒前
9秒前
9秒前
9秒前
水何澹澹完成签到,获得积分0
11秒前
只想发财发布了新的文献求助10
11秒前
诚心的剑完成签到,获得积分10
12秒前
12秒前
李健的小迷弟应助champagne采纳,获得10
13秒前
清脆的巧凡应助七月流火采纳,获得20
13秒前
田田发布了新的文献求助10
14秒前
李子敬完成签到,获得积分10
14秒前
等等发布了新的文献求助10
14秒前
小蘑菇应助典雅迎海采纳,获得10
14秒前
lizzy完成签到 ,获得积分10
14秒前
Lazarus完成签到,获得积分10
15秒前
15秒前
111完成签到,获得积分10
16秒前
方明会完成签到,获得积分20
17秒前
17秒前
高分求助中
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
Effective Learning and Mental Wellbeing 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3974856
求助须知:如何正确求助?哪些是违规求助? 3519400
关于积分的说明 11198085
捐赠科研通 3255563
什么是DOI,文献DOI怎么找? 1797860
邀请新用户注册赠送积分活动 877208
科研通“疑难数据库(出版商)”最低求助积分说明 806219