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Current Urology Reports

, Volume 1, Issue 2, pp 116–123 | Cite as

Transurethral vaporization of the prostate: Current techniques

  • Mark A. Cabelin
  • Alexis E. Te
  • Steven A. Kaplan
Article

Abstract

Electrovaporization has quickly become a popular procedure for treating benign prostatic hyperplasia. By using standard transurethral electrosurgical technology, electrovaporization offers standard transurethral loop-like resection and transurethral prostatectomy (TURP)-like efficacy with less morbidity than that associated with TURP. Through a combination of two electrosurgical effects (vaporization and desiccation), electrovaporization ablates significant volumes of prostatic tissue with each passage of the electrode. Newly designed thicker loop electrodes have led to a modification of the original electrovaporization technique. “Vaporizing-resection” adds the advantages of transurethral resection to those of electrovaporization with the use of one electrode. Very large glands can be treated efficiently, and prostatic tissue specimens are produced. Moreover, additional vaporization of tissue occurs with minimized bleeding. This report reviews basic electrosurgical principles, electrode design, and factors that affect vaporizing efficiency. Current long-term data on electrovaporization compared with TURP are summarized, and pilot studies evaluating vaporizingresection have shown promising results. A new technology that has entered the market—bipolar electrovaporization —is also discussed. Finally, combination therapy and Columbia’s 4-year experience with vaporization techniques are discussed.

Keywords

Benign Prostatic Hyperplasia Transurethral Resection Combination Technique Irritative Symptom Electrode Design 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Current Science Inc 2000

Authors and Affiliations

  • Mark A. Cabelin
    • 1
  • Alexis E. Te
    • 1
  • Steven A. Kaplan
    • 1
  1. 1.Department of Urology, The Prostate Center, The J. Bentley Squier Urological ClinicNew York-Presbyterian Hospital, Columbia Presbyterian Medical CenterNew YorkUSA

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