title: Comparison of fluid absorption during transurethral resection of prostate and Holmium-Yag laser enucleation of benign adenoma of prostate using breath ethanol concentration.
abstract: OBJECTIVE
  We conducted a study to detect, quantify and compare irrigation fluid absorption in transurethral resection of the prostate (TURP) and Holmium laser enucleation of the prostate (HoLEP), using BEC.
  
  
  METHODS
  The study included 50 patients of lower urinary tract symptoms, secondary to benign enlargement of prostate. The patients were nonrandomly allocated to undergo TURP and HoLEP. Twenty-six patients underwent TURP and the remaining 24 underwent HoLEP. Sterile water tagged with 1% ethanol w/v was used for irrigation. Absorption was detected and quantified every 10min by BEC levels. Data was analyzed using standard nomograms.
  
  
  RESULTS
  In HoLEP, 14/24 had no fluid absorption. The remaining 10/24 showed fluid absorption ranging from 95 ml to 300 ml. In TURP, all had fluid absorption ranging from 250-980 ml. Three TURP patients developed overt symptoms, while none did in the HoLEP group.
  
  
  CONCLUSIONS
  Fluid absorption observed in our study in the HoLEP group was lower than in the TURP group.
authors.affiliation: Dr. Y. G. Bodhe Department of Urology, Maharashatra Medical Foundation's Ratna Memorial Hospital, S. Bapat Road, Pune, India.
authors.forename: Shivadeo
authors.initials: S
authors.lastname: Bapat
authors.forename: Salil
authors.initials: S
authors.lastname: Umranikar
authors.forename: Vikram
authors.initials: V
authors.lastname: Satav
authors.forename: Abhijeet
authors.initials: A
authors.lastname: Bapat
authors.forename: Arun
authors.initials: A
authors.lastname: Joshi
authors.forename: Gauri
authors.initials: G
authors.lastname: Ranade
references.citation: Lasers Surg Med. 1994;14(3):258-68
references.pmid: 8208052
references.citation: Lasers Surg Med. 1996;18(3):278-93
references.pmid: 8778524
references.citation: J Urol. 1999 Nov;162(5):1640-4
references.pmid: 10524887
references.citation: Ann Chir Gynaecol Suppl. 1993;206:24-30
references.pmid: 7507309
references.citation: Br J Urol. 1991 Oct;68(4):390-3
references.pmid: 1933159
references.citation: J Endourol. 1999 Apr;13(3):181-90
references.pmid: 10360498
references.citation: Int Urol Nephrol. 1987;19(2):165-9
references.pmid: 3667130
references.citation: Br J Urol. 1980 Dec;52(6):526-8
references.pmid: 6161668
references.citation: J Endourol. 1998 Jun;12(3):279-82
references.pmid: 9658303
references.citation: Scand J Urol Nephrol. 1986;20(1):19-26
references.pmid: 3704567
references.citation: Eur Urol. 1984;10(3):183-6
references.pmid: 6723737
references.citation: BJU Int. 2002 Dec;90(9):872-5
references.pmid: 12460348
references.citation: J Urol. 1947 Aug;58(2):125-31
references.pmid: 20256856
references.citation: J Urol. 1969 Dec;102(6):714-9
references.pmid: 4906205
references.citation: Surg Clin North Am. 1992 Jun;72(3):531-58
references.pmid: 1589829
references.citation: Scand J Urol Nephrol. 1986;20(4):245-51
references.pmid: 3101171
references.citation: Scand J Urol Nephrol. 1986;20(1):9-17
references.pmid: 2422743
references.citation: Anaesthesia. 1990 Jul;45(7):577-81
references.pmid: 2386283
references.citation: BJU Int. 2000 Jul;86(1):43-6
references.pmid: 10886081
references.citation: J Urol. 1989 Feb;141(2):243-7
references.pmid: 2643719
references.citation: Anesthesiology. 1988 Jun;68(6):867-73
references.pmid: 3377233
references.citation: J Urol. 1958 Mar;79(3):490-9
references.pmid: 13514908
references.citation: Acta Anaesthesiol Scand. 1989 Feb;33(2):146-51
references.pmid: 2922983