title: Bipolar Plasmakinetic Enucleoresection of the Prostate: Our Experience with 245 Patients for 3 Years of Follow-Up.
abstract: The aim of this study was to evaluate the safety, feasibility, and effectiveness of bipolar transurethral plasmakinetic enucleation of the prostate (PKEP).
  
  
  
  Between January 2010 and October 2013, 245 patients with lower urinary tract symptoms due to benign prostatic hyperplasia underwent transurethral enucleation of prostate using bipolar plasma vaporization energy. Patients were evaluated preoperatively by full detailed history, routine preoperative investigation digital rectal examination, serum prostate-specific antigen, abdominal and transrectal ultrasonography, and maximum flow rates (Qmax).
  
  
  
  Patients' ages ranged from 50 to 81 (65.5 ± 6) years with transrectal ultrasound-measured prostate volume of 97.1 ± 36.7 mL resulting in an operating time of 76.9 ± 27.9 minutes, and postoperative irrigation and catheterization times were 3.5 ± 3.2 and 12.7 ± 6.1 hours, respectively. No significant complication occurred intra- or postoperatively. Qmaxincreased from 7.1 ± 3.2 mL/second preoperative to 18.4 ± 4.2 mL/second (p < 0.001). The International Prostate Symptom Score decreased from 25 ± 6 to 7.9 ± 2.4 (p < 0.01).
  
  
  
  This study confirmed that PKEP is a safe, easy to learn, and durable technique suitable for any prostate sizes.
authors.affiliation: Department of Urology, Banha University Hospital , Banha, Egypt .
authors.forename: Ahmed
authors.initials: A
authors.lastname: Abou-Taleb
authors.affiliation: Department of Urology, Banha University Hospital , Banha, Egypt .
authors.forename: Waleed
authors.initials: W
authors.lastname: El-Shaer
authors.affiliation: Department of Urology, Banha University Hospital , Banha, Egypt .
authors.forename: Wael
authors.initials: W
authors.lastname: Kandeel
authors.affiliation: Department of Urology, Banha University Hospital , Banha, Egypt .
authors.forename: Tarek
authors.initials: T
authors.lastname: Gharib
authors.affiliation: Department of Urology, Banha University Hospital , Banha, Egypt .
authors.forename: Alaa
authors.initials: A
authors.lastname: Elshaer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004598:Electrosurgery / Q000009:adverse effects / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects / Q000379:methods*; D059411:Lower Urinary Tract Symptoms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D017430:Prostate-Specific Antigen / Q000097:blood; D011470:Prostatic Hyperplasia / Q000097:blood / Q000601:surgery*; D020728:Transurethral Resection of Prostate / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D017430:Prostate-Specific Antigen
keywords: M-TURP; PKEP; benign prostatic hyperplasia