Yang Stone, Lin Wen-Chou, Chang Huang-Kuang, Hsu Jong-Ming, Lin Wun-Rong, Chow Yung-Chiong, Tsai Wei-Kung, Lee Te-An, Lo King-Yik, Chow Ko, Chen Marcelo
Department of Urology, Mackay Memorial Hospital, Mackay Medicine, Nursing and Management College, Taipei, Taiwan.
Urol Int. 2004;73(3):258-61. doi: 10.1159/000080838.
This randomized prospective study was conducted to compare the efficacy and safety of the Gyrus Plasmasect loop bipolar transurethral resection of prostate (TURP) and conventional monopolar TURP in the treatment of benign prostatic hyperplasia (BPH).
A total of 117 men were enrolled in this study. Fifty-eight patients underwent Gyrus Plasmasect TURP and 59 patients underwent monopolar TURP. They were followed up for 3 months after surgery.
Significant improvements were seen postoperatively in both the Gyrus and monopolar groups in terms of prostatic volume, International Prostate Symptom Score, quality of life score, peak flow rate, and post-void residual urine volume. However, the degree of improvement was not statistically different between the 2 groups. Significantly less blood loss, shorter postoperative catheterization time and length of hospital stay were seen in the Gyrus group.
Gyrus Plasmasect TURP yielded comparable results to monopolar TURP; however, this is only a preliminary study and follow-up is necessary to assess its long-term efficacy.
本随机前瞻性研究旨在比较Gyrus等离子双极经尿道前列腺切除术（TURP）与传统单极TURP治疗良性前列腺增生（BPH）的疗效和安全性。
本研究共纳入117名男性。58例患者接受了Gyrus等离子TURP，59例患者接受了单极TURP。术后对他们进行了3个月的随访。
Gyrus组和单极组术后在前列腺体积、国际前列腺症状评分、生活质量评分、最大尿流率和残余尿量方面均有显著改善。然而，两组之间的改善程度在统计学上无差异。Gyrus组术中失血明显较少，术后导尿时间和住院时间较短。
Gyrus等离子TURP与单极TURP的效果相当；然而，这只是一项初步研究，有必要进行随访以评估其长期疗效。
