HOW I DO IT

• How I do it: Aquablation of the prostate using the AQUABEAM system

  MacRae Catriona, Gilling Peter, MD Department of Urology, Tauranga Hospital, Tauranga, New Zealand

  ---

  Benign prostatic hyperplasia (BPH) represents one of the most common conditions encountered in urological practice. For many years, transurethral resection of the prostate (TURP) has been considered the gold standard for surgical management of symptoms in prostates of 30 cc-80 cc. Although TURP provides excellent functional outcomes, there is significant morbidity associated with the procedure, particularly with regards to bleeding, electrolyte imbalance and sexual dysfunction. Emerging technologies aim to maintain the excellent functional results of TURP whilst decreasing the adverse events experienced by the patient. Aquablation is a novel therapy using a high-velocity waterjet and real-time ultrasound imaging with robotic assistance for targeted removal of prostate tissue. We present our experiences with this new technique, the equipment required and steps involved.

  Keywords: benign prostatic hyperplasia, transurethral resection of prostate, ablation techniques, aquablation, bladder outlet obstruction,

  Dec 2016 (Vol. 23, Issue 6 , Page 8590)
  Full Text   |  PDF (539.5KB)Free
• How I do it: Same day discharge for transurethral resection of prostate using Olympus PlasmaButton and PlasmaLoop

  Pham Ryan, Parke Jacob, Kernen M. Kenneth, MD Oakland University William Beaumont School of Medicine, Auburn Hills, Michigan, USA

  ---

  Benign prostatic hyperplasia (BPH) is one of the most common conditions affecting older men. Transurethral resection of the prostate (TURP) has widely been considered the gold standard in surgical treatment for BPH. However, this procedure remains largely an inpatient procedure. Inpatient admission ultimately adds to healthcare cost and patient morbidity. In this article, we present an alternative methodology to treat BPH using combination Olympus PlasmaButton and Olympus PlasmaLoop therapy. Preliminary results from our experience suggest improved hemostasis with adequate resection, allowing a majority of our patients to be discharged the same day of the procedure. We describe our novel technique as a safe and effective way to possibly treat BPH in an outpatient setting.

  Keywords: benign prostatic hyperplasia, transurethral resection of prostate, monopolar- transurethral resection of prostate, bipolar- transurethral resection of prostate, continuous bladder irrigation, transurethral vaporization of prostate,

  Oct 2016 (Vol. 23, Issue 5 , Page 8491)
  Full Text   |  PDF (187.6KB)Free