Bipolar button-electrode plasma vaporization of the prostate: An effective option for patients with post-brachytherapy retention

October 2015
Experimental & Therapeutic Medicine;Oct2015, Vol. 10 Issue 4, p1309
Academic Journal
Urinary retention is a common urinary complication following brachytherapy for prostate cancer. When conservative therapy has failed, surgical intervention, such as transurethral resection of the prostate (TURP), is performed. In the present case, it was found that conventional bipolar TURP was an inappropriate choice of therapy, since the electrical loop could easily rupture and discharge sparks when encountering the seeds intraoperatively; however, bipolar button-electrode plasma vaporization of the prostate was proven to be a much safer technique. The 'button-type' electrode, which has a larger contacting surface, was firm enough to tolerate the transient high levels of energy generated by the short circuit and enable the safe completion of the procedure.


Related Articles

  • High-Dose Brachytherapy Okay Despite Prior TURP.  // Renal & Urology News;Dec2012, Vol. 11 Issue 12, p28 

    The article reports on a study conducted by researchers at Chang Gung Memorial Hospital-Kaohsiung Medical Center led by Fumin Fang regarding the use of high-dose-rate (HDR) brachytherapy in men with localized prostate cancer and have undergone transurethral resection of the prostate (TURP).

  • Hydronephrosis Predicts Successful Catheter Removal after Painful Urinary Retention - Preliminary Results of a Prospective Single Center Study. Heidegger, Isabel; Fritz, Josef; Steiner, Hannes; Bektic, Jasmin; Pichler, Renate // Urologia Internationalis;Jul2016, Vol. 97 Issue 1, p84 

    Introduction: The study aims to identify candidates who can be managed conservatively after the first episode of spontaneous painful acute urinary retention (AUR). Methods: A total of 20 patients with primary spontaneous painful AUR were prospectively included in the study. Twenty-four hours...

  • HRQOL assessment after brachytherapy for clinically localized PCa. Lee, W. Robert; McCullough, David L. // Contemporary Urology;Nov2000, Vol. 12 Issue 11, p52 

    Provides information on a study which quantified health-related quality of life among men with prostate cancer after a year of treatment with brachytherapy. Definition of prostate brachytherapy (PB); Statistics on men undergoing PB; Conclusion. INSETS: Comment from the community;Editorial...

  • Data Support Pre-Brachytherapy Cystoscopy.  // Renal & Urology News;Apr2012, Vol. 11 Issue 4, p12 

    The article focuses on the research by Nicholas J. Mehan and colleagues showing the feasibility and usefulness of cystoscopy before low-dose rate (LDR) brachytherapy for prostate cancer in determining patients who needs further investigation prior seed implantation.

  • Placement of retrievable self-expandable metallic stents with barbs into patients with obstructive prostate cancer. Song, Ho-Young; Kim, Choung; Jeong, In; Yoo, Dalsan; Kim, Jin; Nam, Deok; Bae, Jae-Ik; Park, Jung-Hoon // European Radiology;Mar2013, Vol. 23 Issue 3, p780 

    Objectives: To evaluate the technical feasibility and clinical effectiveness of retrievable self-expandable metallic stents with barbs in patients with obstructive prostate cancer. Methods: Retrievable self-expandable metallic stents with eight barbs each were inserted into eight consecutive...

  • Intravesical explosion: a rare complication of transurethral resection of prostate. Oğuz, Gonca; Subaşı, Deniz; Kaya, Menşure; Güven, Oğuz; Ünver, Süheyla // Journal of Anesthesia;2013, Vol. 27 Issue 1, p145 

    A letter to the editor is presented about a case of intravesical explosion during transurethral resection of prostate cancer in an 82-year-old patient.

  • PSA recurrence after brachytherapy for seed misplacement: a double-blind radiologic and pathologic work-up after salvage prostatectomy. Gacci, M.; Serni, S.; Lapini, A.; Vittori, G.; Vignolini, G.; Nesi, G.; Carini, M. // Prostate Cancer & Prostatic Diseases;2008, Vol. 11 Issue 1, p99 

    A 64-year-old man was treated with brachytherapy for prostate cancer. Prostate-specific antigen (PSA) nadir was achieved at 3 months, while at 24 months PSA increased to 18.7 ng ml−1. Re-biopsy and imaging revealed locally recurrent prostate carcinoma without metastasis. The patient was...

  • Brachytherapy Benefits Younger PCa Patients.  // Renal & Urology News;Jul2013, Vol. 12 Issue 7, p7 

    The article reports on the study conducted by Memorial Sloan-Kettering Cancer Center researcher Marisa A. Kollmeier and colleagues, which showed that brachytherapy (BT) gives young prostate cancer (PCa) patients better long-term benefits.

  • Options for Treating the Enlarged Prostate. Bruskewitz, Reginald C. // AUANews;Jan2008, Vol. 13 Issue 1, p12 

    The article offers ideas on the different therapeutic approaches for prostate enlargement. It describes the case of a 63-year-old man who complained of urinary retention and enlarged prostate. It explains the clinical indications for transurethral resection (TUR). It also offers clinical...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics