Publication:
Outcome of Transurethral Vaporisation of Prostate in Small Volume Prostate: A prospective observational study

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creativeworkseries.issn1812-2027
dc.contributor.authorDahal, R
dc.contributor.authorAdhikari, B
dc.contributor.authorMishra, U
dc.contributor.authorShah, AK
dc.contributor.authorBasnet, RB
dc.contributor.authorShrestha, A
dc.contributor.authorShrestha, PM
dc.date.accessioned2026-01-14T05:59:07Z
dc.date.available2026-01-14T05:59:07Z
dc.date.issued2024
dc.descriptionDahal R, Adhikari B, Mishra U, Shah AK, Basnet RB, Shrestha A, Shrestha PM Department of Urology National Academy of Medical Sciences (NAMS) Bir Hospital, Mahaboudha, Kathmandu, Nepal
dc.description.abstractABSTRACT Background Benign Enlargement of Prostate is common in aging men. Transurethral vaporisation of prostate is one modality of minimal invasive management of benign enlargement of prostate. This study assesses the efficacy and safety of transurethral vaporisation of prostate in small volume prostate. Objective To assess the efficacy and safety of bipolar plasma vaporisation of small volume prostate (Prostate Volume less than 40 grams). Method A total of 40 patients with prostate volume less than 40 grams and indications for operative management of benign enlargement of prostate were included. Patients with prior prostate surgery, urethral stricture surgery, presence of vesical calculus, urethral stricture and neurogenic bladder were excluded. Preoperative prostate size was assessed by transrectal ultrasonography. Comparison of preoperative and postoperative hemoglobin, sodium, international prostate symptom score and maximum flow rate was done. Perioperative complications were documented. Result The mean age of patients was 66.88 ± 9.09 years and the mean size of prostate was 32.52 ± 4.66 grams. Significant improvement in IPSS (preoperative 22, postoperative 9) and Qmax (preoperative 8.4 ml/min, postoperative 18.5 ml/min) was noted. There was significant drop in hemoglobin (p < 0.001) but no patients required blood transfusion. There was significant drop in sodium (p < 0.001) but no patients developed transurethral resection syndrome. Most complications were Clavien grade I. Two patients required recatheterization and all were catheter free on follow up. Two patients developed urethral stricture. Conclusion Bipolar transurethral vaporisation of Prostate is effective and safe treatment option for prostate volume less than 40 grams. KEY WORDS Bipolar plasma vaporisation, Lower urinary tract symptoms, Prostate symptoms
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4243
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectBipolar plasma vaporisation
dc.subjectLower urinary tract symptoms
dc.subjectProstate symptoms
dc.titleOutcome of Transurethral Vaporisation of Prostate in Small Volume Prostate: A prospective observational study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage378
oaire.citation.startPage373
relation.isJournalIssueOfPublicatione11bafba-6525-4c58-88d9-4eff4919cf29
relation.isJournalIssueOfPublication.latestForDiscoverye11bafba-6525-4c58-88d9-4eff4919cf29
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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