Comparison of bipolar “button” plasma vaporization of the prostate versus bipolar transurethral resection in saline for benign prostate obstruction.

Abstract

Objective: To determine the differences in outcomes when bipolar button plasma vaporization is used to manage benign prostatic obstruction, compared to bipolar transurethral resection. Study Design: Randomized Controlled Trial. Setting: Department of Urology & Renal Transplant, DHQ Teaching Hospital, Gujranwala. Period: 9-6-2023 to 10-12-2023. Methods: To participate, 62 patients were selected and then randomized by simple random sampling into two groups. Group A received gamma knife BPVP and group B had the procedure known as Transurethral Resection of the Prostate (TURP). Patients stayed in post-surgical wards after the operation until they were allowed to go home. We noted how many days the patients were hospitalized, the time spent using irrigation and if they had a catheter. We also measured the amount of blood lost and how severe the lower urinary tract symptoms were. SPSS version 25 was used to look at the data. Results: The average patient age in group-I was 58.59±4.59 years and 57.67±4.61 years in group-II. BPVP patients had improvements in many perioperative outcomes, with less time for surgery (45.5 versus 69.8 mins), irrigation (9.96 versus 12.87 hours), catheterization (2.83 days versus 4.96 days), hospital length of stay (3.32 days versus 5.96 days) and lower blood loss (109.38 mL compared to TURP’s 197.25 mL) (p < 0.05). Overall and when grouped by age and how long symptoms had lasted, IPSS scores showed no significant differences between the groups (p > 0.05). Conclusion: Initial findings indicate that BPVP is comparatively safer than TURP, extremely efficient, associated with reduced perioperative bleeding, and resulting in a shorter hospital stay.