Transurethral Vaporization of the Prostate

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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.

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References

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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.

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

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

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Editors and Affiliations

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

    Kevin T. McVary MD, FACS

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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

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