2005•Journal of Tongji UniversityRequires access

Complications of Transurethral Electrovaporization Ablation of Prostate:Prevention and Management

LI Jia-dong

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Abstract

Objective To study the intra and post-operative complications of transurethral electrovaporization of prostate (TVP0).Methods TVP was performed on symptomatic BPH patients with a mean age of 66.3.Blood routine,serum soldium were measured pre and post-operatively.The patients have been followed up for 3 to 6 months.Results The mean blood loss was 90 ml.There were no obvious changes in hematocrit and serum sodium.Complications of the procedure included:TVP syndrome in 0.9%,intraoperative and postoperative bleeding in 2.8%,integument perforation and douche liquid extravasation in 0.45%,temporary incontinence in 12.7%,urethral stricture in 3.2%,voiding difficulty in 0.9%,urinary infection in 5.5%,impotence in 3% and retrograde ejaculation in 39.3%.Conclusion TVP has some complications.Prevention and management of these complications should be emphasized. for TVP.

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Objective To study the intra and post-operative complications of transurethral electrovaporization of prostate (TVP0).Methods TVP was performed on symptomatic BPH patients with a mean age of 66.3.Blood routine,serum soldium were measured pre and post-operatively.The patients have been followed up for 3 to 6 months.Results The mean blood loss was 90 ml.There were no obvious changes in hematocrit and serum sodium.Complications of the procedure included:TVP syndrome in 0.9%,intraoperative and postoperative bleeding in 2.8%,integument perforation and douche liquid extravasation in 0.45%,temporary incontinence in 12.7%,urethral stricture in 3.2%,voiding difficulty in 0.9%,urinary infection in 5.5%,impotence in 3% and retrograde ejaculation in 39.3%.Conclusion TVP has some complications.Prevention and management of these complications should be emphasized. for TVP.

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Available abstract

Objective To study the intra and post-operative complications of transurethral electrovaporization of prostate (TVP0).Methods TVP was performed on symptomatic BPH patients with a mean age of 66.3.Blood routine,serum soldium were measured pre and post-operatively.The patients have been followed up for 3 to 6 months.Results The mean blood loss was 90 ml.There were no obvious changes in hematocrit and serum sodium.Complications of the procedure included:TVP syndrome in 0.9%,intraoperative and postoperative bleeding in 2.8%,integument perforation and douche liquid extravasation in 0.45%,temporary incontinence in 12.7%,urethral stricture in 3.2%,voiding difficulty in 0.9%,urinary infection in 5.5%,impotence in 3% and retrograde ejaculation in 39.3%.Conclusion TVP has some complications.Prevention and management of these complications should be emphasized. for TVP.

Key concepts: Medicine, Urology, Hematocrit, Prostate, Perforation, Retrograde ejaculation, Surgery, Complication

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