COMPARASION OF TRANSURETHRAL RESECTION (TURP) AND TRANSURETHRAL PLASMAVAPOURASATION (TUVAP) OF PROSTATE IN BENIGN PROSTATIC HYPERTROPHY PATIENTS BY USING PLASMAKINETIC TISSUE TREATMENT SYSTEMS

Introduction: Recently, transurethral plasma vaporization (TUVAP) of BPH by using bipolar plasmakinetic technology has taken its role as a minimal invasive treatment option. In our current study, we compared two treatment modalities, TURP and TUVAP, by using bipolar plasmakinetic technology. Materials and Methods: 76 patients with the diagnosis of BPH in our clinic were randomly divided into two groups (TURP and TUVAP). When the preoperative parameters of the TURP and the TUVAP groups were compared, in both groups there was no statistically significant difference between the patients' values (p>0.05). After the operation perioperative and postoperative findings, preoperative and postoperative complications were recorded. Results: In TURP and TUVAP groups respectively, the operation time, the volume of fluid for irrigation found to be statistically significant. The time elapsed from the operative day until the withdrawal of urinary catheters was statistically significant when comparison was made in both groups (p<0.05). There was no statistically significant difference in the early and late findings and complications between the groups. Conclusion: TUVAP is as effective as TURP in decreasing the IPSS score and increasing Q maximum in patients with BPH. The shorter operative time and the shorter elapsed time with the urinary catheter in TUVAP decrease the complications. In both surgical procedures, the use of saline instead of glysine for irrigation prevents the TUR syndrome and decreases the cost. We believe that, plasmakinetic tissue treatment system, with TURP and TUVAP procedures, is an effective option in the treatment of BPH.