The provision of transurethral prostatectomy on a day-case basis using bipolar plasma kinetic technology.

Abstract

To evaluate, in a prospective study, the potential for providing elective transurethral prostatectomy on a day-case basis, using new bipolar electrosurgical technology. Forty men with confirmed bladder outlet obstruction caused by benign prostatic enlargement underwent plasma kinetic vaporization of the prostate (PKVP) in the Day Surgery Unit; they were scheduled to be discharged on the day of surgery with an indwelling catheter, returning for a trial removal of the catheter at 48 h, and followed up at 2 and 4 months after surgery. Thirty-four (85%) of the 40 patients were able to return home on the day of surgery. All patients, including the six who failed to return home as a day-case, successfully voided at 48 h; 78% felt the procedure was acceptable on a day-case basis. At 4 months the mean improvement in the International Prostate Symptom Score and Quality of Life score were 64% and 84%, respectively. The mean improvement in flow rate was 200-250%. PKVP effectively relieves prostatic obstruction, at least in the short-term (a longer term follow-up is required). The procedure can be delivered safely on a day-case basis and was very acceptable to the patients.