Bipolar Plasmakinetic TURP Vs Monopolar TURP in the Treatment of Lower Urinary Tract Symptoms
Prostatic Hyperplasia, Lower Urinary Tract Symptoms, Transurethral Resection of Prostate
About this trial
This is an interventional treatment trial for Prostatic Hyperplasia
Eligibility Criteria
Inclusion Criteria:
- Sign the informed consent voluntarily and will be willing to follow-up
- Prostate volume <80 g
- Meet any conditions (1) Diagnose of LUTS due to refractory to drugs BPH. (2) presenting complications derived from BPH (bladder calculi, recurrent haematuria, recurrent urinary tract infections, acute urinary retention)
- The use of antiplatelet agents or anticoagulant drugs is allowed.
Exclusion Criteria:
- Previous history of pelvic surgery
- Previous history of pelvic radiotherapy
- Previous history of neurogenic bladder dysfunction
- Documented or suspected prostate carcinoma
- Patients with severe cardiopulmonary disease or severe mental disorders
- Poor compliance, and can not be followed up.
Sites / Locations
- Hospital Universitario de Fuenlabrada
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
M-TURP
PK-TURP
The M-TURP procedure requires the use of a resectoscope (Olympus or Storz, 26Ch), camera system and irrigation fluid (Glycine 1.5%, Baxter). The system consists of a generator unit (ForceTriadTM, Medtronic) and a stainless steel loop with an electrical current running through the loop used to cut (120W) prostate tissue and cauterize (80W). Prostate tissue is cut away in small pieces and removed at the end of the procedure using an Ellik evacuator
The PK-TURP procedure requires the use of a resectoscope (Storz, 26Ch), camera system and irrigation fluid (NaCl 0.9%, Baxter). The system consists of a generator unit (PlasmaKineticTM Superpulse de Gyrus, ACMI) and a platinum-iridium superloop with an electrical current running through the loop used to cut (180W) prostate tissue and cauterize (100W). Prostate tissue is cut away in small pieces and removed at the end of the procedure using an Ellik evacuator