الفهرس 
Management of benign prostate hyperplasiaOnly 14 pages are availabe for public view
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Abstract
Background: Vaporization/Ablation of prostate is becoming one of the standard
modalities for treating of symptomatic cases of lower urinary tract symptoms (LUTS)
due to benign prostatic hyperplasia (BPH) especially in men with bleeding tendency.
Objective: to compare the short term safety and efficacy of bipolar plasma versus
laser ablation of prostate and follow up over 6 months post operative.
Patients and Methods: This prospective randomized control study (double armed)
included 60 patients with prostates less than 80 gm operated upon and followed up in
the Urology Department of Ain shams University hospitals. The patients were
divided into 2 groups: group A 30 Patients underwent Transurethral Diode Laser
Ablation, group B 30 Patients underwent Bipolar Transurethral Vaporization as the
control group.
Results: When we compared both groups of patients there was no great difference and
both techniques proved great efficiency and safety on patients especially in high risk group
of patients, and both of them resulted in improvement in all parameters of LUTS
secondary to BPH (decrease of IPSS, increase of Q max, decrease of residual urine and
PSA).There was no risk or major complication encountered in the study e.g. no significant
bleeding and no risk of TUR syndrome. However operation time was shorter in laser
group 22 (mean) min compared to 49 min in bipolar group. Also the mean cost of
laser group was about 30000 EGP and the mean cost of bipolar group was 20000 EGP
in Ain Shams University hospital. Also catheter time was shorter in laser
prostatectomy 24 hours versus 48 hours in bipolar, this is done in trial to lessen the
irritative effect of vaporization on the nerve ending, and avoid the expected dysuria.
Conclusion: Both techniques are considered safe and effective, similar in the
outcome and both techniques has excellent hemostatic profile with no serious
complications occurred in both groups. Laser is a faster technique than bipolar
however it’s more expensive