Purpose:
To assess the outcome of transurethral plasmakinetic vaporization (PKVP) in the
management of benign prostatic hyperplasia (BPH)
Patients and methods:
Between August 2010 and May 2012, 60 patients with obstructive LUTS due BPH
were included in the study. All patients were evaluated by International Prostate
Symptom Score (IPSS), general examination, digital rectal examination, PSA, routine
laboratory examinations, pelvi-abdominal ultrasound, trans-rectal ultrasound, and
uroflowmetry. Patients with Qmax of < 10 ml/sec., an IPSS of > 8 and a prostate
volume of > 40 ml underwent transurethral PKVP.
Results:
Mean age of the patients was 66.8 ± 4.5 years. The mean times of the operation, postoperative
bladder irrigation, and post-operative catheterization were 63.8 ± 13.9
minutes, 15.2 ± 5.7 hours, and 23.9 ± 5.2 hours, respectively. At 3 months of follow
up, there were insignificant reductions in the mean IPSS from 23.4 ± 3.5 to 9.2 ± 3.7
(P= 0.4), mean PSA from 3.03 ± 2.2 ng/ml to 1.2 ± 1.04 ng/ml (P value =0.02), mean
post voiding residual urine from 149.8 ± 59.5 ml to 46.9 ± 24.1 ml (P value < 0.01),
and mean prostate volume from 72.8 ± 10.3 ml to 22.7 ± 6.1 ml (P value < 0.01).
Also, there was a statistically significant increase in the mean Q max. from 8.7 ± 2.4
ml/s to 19.5 ± 3.5 ml/s (P value < 0.01(
Conclusion:
PKVP is an effective and safe treatment option in the management of symptomatic
BPH.