title: Outcome of transurethral plasmakinetic vaporization for benign prostatic hyperplasia.
abstract: OBJECTIVE
  To assess the outcome of transurethral plasmakinetic vaporization (PKVP) in the management of benign prostatic hyperplasia (BPH).
  
  
  METHODS
  From August 2010 to May 2012, 60 patients with obstructive LUTS due to BPH were included in the study. All patients were evaluated by International Prostate Symptom Score (IPSS), general examination, digital rectal examination, PSA, routine laboratory examinations, pelvi-abdominal ultrasound, trans-rectal ultrasound, and uroflowmetry. Patients with Qmax of <10 mL/sec., an IPSS of >8 and a prostate volume of >40 mL underwent transurethral PKVP.
  
  
  RESULTS
  Mean age of the patients was 66.8 ± 4.5 years. The mean times of the operation, post-operative bladder irrigation, and post-operative catheterization were 63.8 ± 13.9 minutes, 15.2 ± 5.7 hours, and 23.9 ± 5.2 hours, respectively. At 3 months of follow-up, there were significant reductions in the mean IPSS from 23.4 ± 3.5 to 9.2 ± 3.7 (P=0.4), mean PSA from 3.03 ± 2.2 ng/mL to 1.2 ± 1.04 ng/mL (P value=0.02), mean post voiding residual urine from 149.8 ± 59.5 mL to 46.9 ± 24.1 mL (P value <0.01), and mean prostate volume from 72.8 ± 10.3 mL to 22.7 ± 6.1 mL (P value <0.01). Also, there was a statistically significant increase in the mean Q max. from 8.7 ± 2.4 mL/s to 19.5 ± 3.5 mL/s (P value <0.01).
  
  
  CONCLUSIONS
  PKVP is an effective and safe treatment option in the management of symptomatic BPH.
authors.affiliation: Department of Urology Benha Faculty of Medicine, Benha, Egypt.
authors.forename: Magdy
authors.initials: M
authors.lastname: El-Tabey
authors.affiliation: Department of Urology Benha Faculty of Medicine, Benha, Egypt.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Abo-Taleb
authors.affiliation: Department of Urology Benha Faculty of Medicine, Benha, Egypt.
authors.forename: Ashraf
authors.initials: A
authors.lastname: Abdelal
authors.affiliation: Department of Urology Benha Faculty of Medicine, Benha, Egypt.
authors.forename: Mostafa Mahmod
authors.initials: MM
authors.lastname: Khalil
mesh_terms: D000368:Aged; D004598:Electrosurgery / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications; D011467:Prostate / Q000601:surgery; D017430:Prostate-Specific Antigen / Q000097:blood; D011470:Prostatic Hyperplasia / Q000601:surgery*; D015203:Reproducibility of Results; D013997:Time Factors; D020728:Transurethral Resection of Prostate / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D017430:Prostate-Specific Antigen