A C Eaton1, R N Francis. 1. The Queen Elizabeth Hospital, King's Lynn, Norfolk, UK. alan.eaton@btinternet.com
Abstract
OBJECTIVE: To evaluate, in a prospective study, the potential for providing elective transurethral prostatectomy on a day-case basis, using new bipolar electrosurgical technology. PATIENTS AND METHODS: Forty men with confirmed bladder outlet obstruction caused by benign prostatic enlargement underwent plasma kinetic vaporization of the prostate (PKVP) in the Day Surgery Unit; they were scheduled to be discharged on the day of surgery with an indwelling catheter, returning for a trial removal of the catheter at 48 h, and followed up at 2 and 4 months after surgery. RESULTS: Thirty-four (85%) of the 40 patients were able to return home on the day of surgery. All patients, including the six who failed to return home as a day-case, successfully voided at 48 h; 78% felt the procedure was acceptable on a day-case basis. At 4 months the mean improvement in the International Prostate Symptom Score and Quality of Life score were 64% and 84%, respectively. The mean improvement in flow rate was 200-250%. CONCLUSION: PKVP effectively relieves prostatic obstruction, at least in the short-term (a longer term follow-up is required). The procedure can be delivered safely on a day-case basis and was very acceptable to the patients.
OBJECTIVE: To evaluate, in a prospective study, the potential for providing elective transurethral prostatectomy on a day-case basis, using new bipolar electrosurgical technology. PATIENTS AND METHODS: Forty men with confirmed bladder outlet obstruction caused by benign prostatic enlargement underwent plasma kinetic vaporization of the prostate (PKVP) in the Day Surgery Unit; they were scheduled to be discharged on the day of surgery with an indwelling catheter, returning for a trial removal of the catheter at 48 h, and followed up at 2 and 4 months after surgery. RESULTS: Thirty-four (85%) of the 40 patients were able to return home on the day of surgery. All patients, including the six who failed to return home as a day-case, successfully voided at 48 h; 78% felt the procedure was acceptable on a day-case basis. At 4 months the mean improvement in the International Prostate Symptom Score and Quality of Life score were 64% and 84%, respectively. The mean improvement in flow rate was 200-250%. CONCLUSION: PKVP effectively relieves prostatic obstruction, at least in the short-term (a longer term follow-up is required). The procedure can be delivered safely on a day-case basis and was very acceptable to the patients.