Monday, April 16, 2012

Bipolar Plasma Vaporization


Bipolar plasma vaporization was recently introduced
in the treatment armamentarium for benign prostatic
hyperplasia (BPH) and described as a safe and effective
treatment option for patients with lower urinary tract
symptoms caused by bladder outlet obstruction.


However, bladder tumors characterized by specific features,
such as their location in places that are difficult to
access (bladder dome, anterior bladder wall) or subject to
obturator nerve stimulation (lateral bladder walls), as
well as their size ( 3 cm), imposed the search for improvement
in endoscopic surgical approach.
By contrast, the potential complications of standard
resection, consisting of bladder wall perforation and
intra- and postoperative bleeding (eventually imposing
blood transfusions or reintervention), urinary retention
by blood clots, obturator nerve stimulation, and
tumoral spilling also emphasized the need for new
alternatives.
The bipolar transurethral resection in saline (TURis)
proved to achieve the same results as monopolar technology,
thus guaranteeing maximum safety and without
increasing the incidence of urethral strictures.

Bipolar plasma vaporization of the bladder
tumor


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