Transurethral Vaporization of the Prostate

There are numerous abbreviations used to signify transurethral vaporization of the prostate: TVP, TUVP, TUEVP, and TUVRP. Regardless of which acronym is used, transurethral vaporization of the prostate entails the simultaneous vaporization, desiccation, and coagulation of prostatic tissue, using a rollerball or thick loop. TUVRP, which stands for transurethral vapor resection of the prostate specifically refers to the use of the thick-loop electrode and adds resection to the vaporization, desiccation, and coagulation accomplished with other electrodes. Otherwise the equipment is identical to that used for transurethral resection of the prostate (TURP). The generator must be capable of producing 25–45% higher wattage (2,4). The indications for TUVP are the same as those for TURP. This chapter will demonstrate that this modality is a modification of TURP.

Abstract

There are numerous abbreviations used to signify transurethral vaporization of the prostate: TVP, TUVP, TUEVP, and TUVRP. Regardless of which acronym is used, transurethral vaporization of the prostate entails the simultaneous vaporization, desiccation, and coagulation of prostatic tissue, using a rollerball or thick loop. TUVRP, which stands for transurethral vapor resection of the prostate specifically refers to the use of the thick-loop electrode and adds resection to the vaporization, desiccation, and coagulation accomplished with other electrodes. Otherwise the equipment is identical to that used for transurethral resection of the prostate (TURP). The generator must be capable of producing 25–45% higher wattage (2,4). The indications for TUVP are the same as those for TURP. This chapter will demonstrate that this modality is a modification of TURP.

Preview

Unable to display preview. Download preview PDF.

References

  1. Perlmutter AP, Muschter R, Razvi HA. Electrosurgical vaporization of the prostate in the canine model. Urology 1995; 46: 518–523.

  2. Kaplan SA, Te AE. Transurethral electrovaporization of the prostate (TVP): a novel method for treating men with benign prostatic hyperplasia. Urology 1995; 45: 566–573.

  3. Stewart S, Benjamin D, Ruckle HC, et al. Electrovaporization of the prostate: new technique for the treatment of symptomatic benign hyperplasia. J Endourol 1995; 9: 413–416.

  4. Kaplan SA, Laor E, Fatal M, Te AE. Transurethral resection of the prostate versus transurethral electrovaporization of the prostate. A blinded, comparative study with 1-year follow-up. J Urol 1998; 159 (2): 454–458.

  5. Mebust WK. Transurethral surgery. In: Walsh PC, Retik AB, Vaughn ED Jr, Wein AJ, eds., Campbell’s Urology, ed 7, Philadelphia: WB Saunders Co, 1998, pp. 1511–1528.

  6. Cabelin MA, Te AE, Kaplan SA. Transurethral vaporization of the prostate: current techniques. Curr Urol Rep 2000; 1: 116–123.

  7. Van Swol CFP, van Vliet RJ, Verdaaskonk RM, et al. Electrovaporization as a treatment modality for transurethral resection of the prostate: influence of generator type. Urology 1999; 53: 317–321.

  8. Kupeli S, Soygur T, Yilmaz E, et al. Combined transurethral resection and vaporization of the prostate using newly designed electrode: a promising treatment alternative for benign prostatic hyperplasia. J Endourol 1999; 13: 225–228.

  9. Talic RF, El Tiraifi A, El Faqih SR, et al. Prospective randomized study of transurethral vaporization resection of the prostate using the thick loop and standard transurethral prostatectomy. Urology 2000; 55 (6): 886–890.

  10. Talic RF. Transurethral electrovaporization-resection of the prostate using the “Wing” cutting electrode: preliminary results of safety and efficacy in the treatment of men with prostatic outflow obstruction. Urology 1999; 53: 106–110.

  11. Gotoh M, Okamura K, Hattori R, Nishiyama N, et al. A randomized comparative study of the bandloop versus the standard loop for transurethral resection of the prostate. J Urol 1999; 162: 1645–1647.

  12. Narayan P, Tewari A, Crocker B, et al. Factors affecting size and configuration of electrovaporization lesions in the prostate. Urology 1996; 47: 679–688.

  13. Ekengren J, Haendler L, Hahn RG. Clinical outcome 1 year after transurethral vaporization and resection of the prostate. Urology 2000; 55: 231–235.

  14. Mebust WK, Holtgrewe HL, Cockett ATK, et al. Transurethral prostatectomy: immediate and postoperative complications. Cooperative study of 13 participating institutions evaluating 3,885 patients. J Urol 1989; 141: 243–247.

Further Reading

  • Source material not specifically referenced in the text.

  • Bush IM, Malters E, Bush J. Transurethral vaporization of the prostate (TVP): new horizons [abstract]. Society for Minimally Invasive Therapy 1993; 2 (suppl): 98.

  • Chen SS, Chiu AW, Lin AT, et al. Clinical outcomes at 3 months after transurethral vaporization of prostate for benign prostatic hyperplasia. Urology 1997; 50: 235–238.

  • Desautel MG, Burney TL, Diaz PA, et al. Outcome of VaporTrode transurethral vaporization of the prostate using pressure-flow urodynamic criteria. Urology 1998; 51: 1013–1017.

  • Dineen MK, Brown BT, Cantwell AL, et al. Outpatient transurethral resection of the prostate with vaporization assistance: a two year experience in a free standing ambulatory surgery center. J Urol 1997; 157 (suppl): 314.

  • Gallucci M, Puppo P, Perachino M, et al. Transurethral electrovaporization of the prostate vs. transurethral resection. Eur Urol 1998; 33: 359–364.

  • Hamawy KJ, Siroky MB, Krane RJ, et al. Transurethral vaporization of the prostate (TUVP): an electrosurgical alternative for BPH. J Endourol 1995; 9 (suppl 1): S124.

  • Hammadeh M, Sanjeev M, Singh M, et al. Transurethral electro-vaporization of the prostate, a possible alternative to standard TURP: three years follow up of a prospective randomized trial. J Urol 1999; 161 (suppl 4): 1516A.

  • Kaplan SA, Te AE. A comparative study of transurethral resection of the prostate using a modified electro-vaporizing loop and transurethral laser vaporization of the prostate. J Urol 1995; 154: 1785–1790.

  • Larsen TR, Religo EM, Collins JM, et al. Detailed prostatic interstitial thermal mapping during transurethral grooved rollerball electrovaporization and loop electrosurgery for benign prostatic hyperplasia. Urology 1996; 48: 501–507.

  • Lim LM, Patel A, Ryan TP, et al. Quantitative assessment of variables that influence soft-tissue electrovaporization in a fluid environment. Urology 1997; 49: 851–856.

  • Meade WM, Mcloughlin MG. Endoscopic rollerball electrovaporization of the prostate-the sandwich technique: evaluation of the initial efficacy and morbidity in the treatment of benign prostatic obstruction. Br J Urol 1996; 77: 696–700.

  • Narayan P, Fournier G, Indudhara R, et al. Transurethral evaporization of the prostate (TUEP) with Nd:YAG laser using a contact free beam technique: results in 61 patients with benign prostatic hyperplasia. Urology 1994; 43: 813–820.

  • Narayan P, Tewari A, Aboseif S, et al. A randomized study comparing visual laser ablation and transurethral evaporization of prostate in the management of benign prostatic hyperplasia. J Urol 1995; 154: 2083–2088.

  • Narayan P, Tewari A, Garzotto M, et al. Transurethral vaportrode electrovaporization of the prostate: Physical principles, technique, and results. Urology 1996; 47 (4): 505–510

  • Okada T, Terai A, Terachi T, et al. Transurethral electrovaporization of the prostate: preliminary clinical results with pressure-flow analysis. Int J Urol 1998; 5: 55–59.

  • Patel A, Fuchs GJ, Gutierrez-Aceves J, et al. Prostate heating patterns comparing electrosurgical transurethral resection and vaporization: a prospective randomized study. J Urol 1997; 157: 169–172.

  • Patel A, Fuchs GJ, Gutierrez-Aceves J, et al. Transurethral electrovaporization and vapour-resection of the prostate: an appraisal of possible electrosurgical alternatives to regular loop resection. BJU Int 2000; 85: 202–210.

  • Perlmutter AP, Schulsinger DA. The “Wedge” resection device for electrosurgical transurethral prostatectomy. J Endourol 1998; 12: 75–79.

  • Perlmutter AP, Vallancien G. Thick loop transurethral resection of the prostate. Eur Urol 1999; 35: 161–165.

  • Reis RB, Cologna AJ, Suaid HJ, et al. Electrovaporization of the prostate (V AP): an electrosurgical alternative for BPH [abstract]. J Urol 1996; 155: 406A.

  • Reis RB, Cologna AJ, Suaid HI, et al. Interstitial thermotherapy in men undergoing electrovaporization: is it safe? J Urol 1996; 155 (suppl): 707A.

  • Te AE, Kaplan SA. Electrovaporization of the prostate. Curr Opin Urol 1996; 6: 2–9.

  • Te AE, Kaplan SA. Transurethral electrovaporization of the prostate: the year in review. Curr Opin Urol 1997; 7: 25–36.

Download references

Editor information

Editors and Affiliations

  1. Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Kevin T. McVary MD, FACS

About this chapter

Cite this chapter

Littlejohn, J.O., Kang, Y.M., Kaplan, S.A. (2004). Transurethral Vaporization of the Prostate. In: McVary, K.T. (eds) Management of Benign Prostatic Hypertrophy. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-644-7_12

Download citation

  • .RIS
  • .ENW
  • .BIB

  • DOI: https://doi.org/10.1007/978-1-59259-644-7_12

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4684-9806-6

  • Online ISBN: 978-1-59259-644-7

  • eBook Packages: Springer Book Archive

Publish with us

Admin

Link nội dung: https://pi-web.eu/transurethral-vaporization-of-the-prostate-1732591207-a2884.html