Table 4: Perioperative Outcomes. Electrovaporization Using Monopolar Energy Versus TURP.
| Study, Year | Operative time Mean (SD), Min | Hospital stay Mean (SD), Days | Catheterization time Mean (SD), Hours | Hemoglobin decrease, Mean (SD), g/dL | Transfusion, N (%) | Intraoperative irrigant requirement, Mean (SD), L | TUR syndrome No. N (%) | Irritating voiding symptoms N (%) |
|---|---|---|---|---|---|---|---|---|
| Liu et al. 2006 (60) TUVRP TURP |
49.4 (8.0) 52.9 (6.0) P =.04 |
1.65 (0.2) 2.06 (0.35) P <.0001 |
25.4 (4.3) 39.8 (9.0) P =.0001 |
% decrease 11.6 (1.8) 16.3 (4.8) P <.0001 |
1 (2.3) 2 (6.3) P =.38 |
25.5 (8.3) 33 (8.1) P.003 |
0 2 P =.17 |
NR |
| Gupta et al. 2006 TUVRP TURP |
55.9 (18.1) 64.1 (13.1) P < .001 between 3 arms |
NR | 36.2 (8.3) 45.7 (12.7) P < .001 between 3 arms |
0.96 (0.9) 1.1 (0.8) |
0 1 (2%) |
18 (7.6) 24.2 (11.8) P <.001 between 3 arms |
0 0 |
9 (18%) 1 (2%) |
| Nuhoglu et al. 2005 (61) TUVP TURP |
45 (13.2) 42 (9.5) NS |
NR | 22 (5.7) 75.7 (12.5) P < .001 |
0.5 (P > .05) 0.7 (P < .05) |
0 2 |
NR | 0 0 |
NR |
| Akhtar 2004 (59) TUVP TURP |
20.6 (9.5) 35.8 (17.12) P = .0046 |
4.4 (0.91) 6.25 (1.23) P = .0046 |
24 (0) 74.88 (19.98) P = .0001 |
1 (4) 6 (24) P = .033 |
8.28 (3.23) 11.7 (5.2) P = .007 |
0 1 (4) P = .31 |
NR | |
| McAllister et al. 2005 (62;87) TUVP TURP |
49 44.7 NS |
4.4 (3) 4.6 (4) NS |
NR |
Hct 0.23 0.039 P = .039 |
2 (1.7) 9 (7.5) P = .04 |
NR | 0 0 |
NR |
| Van Melick 2003 (88;89) TUVP TURP |
50 (16) 58 (26) P = .09 |
3.4 (0.9) 3.9 (0.9) P > .05 |
45.6 (14.4) 50.4 (16.8) P > .05 |
0.32 1.29 P < .001 |
0 1 |
14 (8) 16 (7) |
0 0 |
0–5% 0–5% |
| Hammadeh et al. 2003 (57;90) TUVP TURP |
25.9 (8.3) 21.6 (8.4) P = .01 |
2.2 (0.59) 3.1 (0.76) P < .001 |
20.9 (7) 46.6 (12.5) P < .001 |
0.8 1.2 P < .003 |
0 1 (2%) P = .3 |
0 17.5 (6.8) P < .001 |
0 0 |
13 (25%) 18 (35%) P = .36 |
| Gupta et al. 2002 TUVRP TURP |
45 60 P < .0001 |
2.5 3 P > .05 |
44.88 52.32 P < .001 |
1.32 1.96 P > .05 |
0 2 |
16.4 21 P < .0001 |
0 0 |
6 (12%) 2 (4%) |
| Kupeli et al. 2001 (63) TUVRP TURP |
48.2 42.7 P < .05 |
2.5 4.5 P < .05 |
48 96 P < .05 |
Hct 1.0 4.3 |
0 0 |
NR | 0 0 |
NR |
| Helke et al. 2001 TUVRP TURP |
Resection time 71.02 (27.5) 65.68 (25.8) P = .18 |
NR | NR | 1.77 2.06 NS |
6 9 |
NR | Serum sodium <128 mmol/L 5 6 |
NR |
| Talic et al. 2000 (58) TUVRP TURP |
Resection time 42.4 (15) 35.9 (12.8) P = .02 |
NR | 23.1 (10.3) 36 (17.3) P <.0001 |
0.4 (NS) 0.6 (P =.03) |
0 0 |
NR | 0 0 |
NR |
| Ekengren et al. 2000 (92) TUVRP TURP |
Median 30 33 |
NR | NR | NR | NR | NR | 0 0 |
1 0 |
¶
Mean decrease in hemoglobin unless otherwise stated; Hct, hematocrit; NR refers to not reported; SD, standard deviation; TUR, transurethral resection; TURP, transurethral resection of the prostate; TUVP, Transurethral electrovaporization of the prostate; TUVRP, transurethral electrovapor resection of the prostate