Experience of 100 laparoscopic radical prostatectomies performed by a single surgeon: An analysis of surgical and functional outcomes

Purpose: This study was conducted to perform a comparative analysis of the efficacy and the safety of conventional transurethral resection of prostate (TUR-P), transurethral resection in saline (TURIS) and TURIS-plasma vaporization (TURIS-V) when performed by a single surgeon for benign prostate hyperplasia (BPH). Materials and Methods: The clinical data of 73 consecutive men who underwent conventional TUR-P (39), TURIS (19) or TURIS-V (15) for BPH was retrospectively analyzed. All procedures were carried out by single surgeon between October 2007 and April 2010. Patients were assessed preoperatively and perioperatively, and were followed at 1, 3 and 6 months postoperatively. Patient baseline characteristics, perioperative data and postoperative outcomes were compared, and major complications were recorded. Results: In all groups, significant improvements in subjective and objective voiding parameters were achieved and were sustained throughout follow-up. TURIS-V had the shortest operation time compared with conventional TUR-P and TURIS (P=0.211). TURIS-V significantly decreased procedural irrigation fluid volume, postoperative irrigation duration, catheter duration and hospital stay compared with conventional TUR-P and TURIS. There were no significant differences between groups in hemoglobin levels and serum sodium levels before and after the operations. There were three transfusions and four clot retentions in the TUR-P group, and one transfusion and one clot retention in the TURIS group. The TURIS-V group had no complications. Conclusions: TURIS and TURIS-V were effective for the surgical treatment of BPH in addition to conventional TUR-P. TURIS-V was superior to conventional TUR-P and TURIS in terms of safety.