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. 2007 Apr;23(2):126-9.
doi: 10.4103/0970-1591.32061.

Comparison of fluid absorption during transurethral resection of prostate and Holmium-Yag laser enucleation of benign adenoma of prostate using breath ethanol concentration

Shivadeo Bapat  1 , Salil Umranikar, Vikram Satav, Abhijeet Bapat, Arun Joshi, Gauri Ranade
Affiliations

Comparison of fluid absorption during transurethral resection of prostate and Holmium-Yag laser enucleation of benign adenoma of prostate using breath ethanol concentration

Shivadeo Bapat et al. Indian J Urol. 2007 Apr.

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.

Materials and 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.

Keywords: Breath ethanol concentration; Holmium laser enucleation of the prostate; fluid absorption; transurethral resection of the prostate.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
“Digital breathalizer” (Sharper Image - USA)
Figure 2
Figure 2
BEC Nomogram
See this image and copyright information in PMC

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