PROSTATIC HYPERPLASIA

TRANSURETHRAL ELECTRO VAPORIZATION: OUR EXPERIENCE

Abstract

Aims and objects. To asses the efficacy, safety and complication of TUEVP on the basis of subjective and objective parameters
and to establish an alternative procedure in our setup. Material and Methods: The study was conducted at Urology Department Services
Hospital Lahore over a period of four years (I996-2000). A total 50 patients suffering from Bladder outflow symptoms due to BPH were selected
for the study. The TUEVP done by standard technique. Results: The mean age was 64.16 with standard deviation of 7.86 years. The mean
operating time in TUEVP was 20.6. Mean volume of irrigating fluid during the procedure was 8.28. Few patients require blood transfusion could
be shorter resection time and less bleeding during TUEVP. Mean preoperative serum sodium was 138.8 mEq/1. After TUEVP mean changes
in serum sodium was 1.1 mEq/1. Post operative mean volume of irrigant used was 11.12 liters. In TUEVP no patients developed significant
haemorrhage during first 24 hours. Mean estimated cost of operation was Rs.4160/. Early complication rate like clot retention occurs in 4% and
fever occurs (4%) while haemorrhage, TURP syndrome , retention of urine and DVT not reported. Late post operative complication included
secondary infection( 4%), Epididymoorchitis( 4%), U.T.I in (12%), Retrograde ejaculation (24%) and stricture urethra( 4%) patients. The mean
symptomatic improvement in IPSS Score was 12.76 after two weeks, 8.72 after three month. Peak flow rate increased 13.4 ml/s after two weeks
and 14.44 ml/s after three months. Conclusion: TUEVP is the effective and safe procedure with fewer complication and better recovery in our
setup but required clinical trials to different urological centers to established its long term efficacy and safety.