Transurethral prostatectomy using Vista bipolar radiofrequency system: comparison with conventional transurethral resection of the prostate.

X-D Li, S Cheng, X-F Rui, G-H Li, Y-B Chen, H-Y Wu
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引用次数: 4

Abstract

To assess the efficacy and safety of transurethral prostatectomy using Vista system, between 2002 and 2004, patients with symptomatic BPH without suspected cancer were treated using the Vista device. The therapeutic effect was retrospective studied compared with patients who were received by TURP. Bipolar resection using the Vista device exhibits a statistically difference in maximum urinary flow rate, RUV, IPSS and QOL(P < .05) 3 and 6 months after operation, and no transurethral resection syndrome occurred. TURP also exhibits a statistically difference in maximum urinary flow rate, RUV, IPSS and QOL(P < .05), but TURS occurred in 2 patients. Compared with TURP, the Vista device shows a statistically less blood loss (P < .05), and longer operation time in prostate enlarged III(0)(P < .05). The Vista system seems to be effective and safe, and especially fit the patients who have a bigger prostate and high risk factors. It appears to be an effective treatment for BPH. Long-term results should be evaluated.

采用Vista双极射频系统经尿道前列腺切除术:与传统经尿道前列腺切除术的比较。
为了评估Vista系统经尿道前列腺切除术的有效性和安全性,在2002年至2004年期间,使用Vista设备治疗没有怀疑癌症的症状性前列腺增生患者。与经TURP治疗的患者进行回顾性研究。Vista双极切除术后3、6个月最大尿流率、RUV、IPSS、QOL差异均有统计学意义(P < 0.05),且无经尿道切除综合征发生。TURP在最大尿流率、RUV、IPSS和生活质量方面也有统计学差异(P < 0.05),但有2例患者发生TURS。与TURP相比,Vista装置的失血量更少(P < 0.05),前列腺肥大III期手术时间更长(P < 0.05)。Vista系统似乎是有效和安全的,特别适合前列腺较大和高危因素的患者。它似乎是治疗前列腺增生的有效方法。应评估长期结果。
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