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ORIGINAL ARTICLE
Year : 2007  |  Volume : 23  |  Issue : 2  |  Page : 126-129

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


1 Dr. Y. G. Bodhe Department of Urology, Maharashatra Medical Foundation's Ratna Memorial Hospital, S. Bapat Road, Pune, India
2 Dr. Y. G. Bodhe Department of Anesthesiology, Maharashatra Medical Foundation's Ratna Memorial Hospital, S. Bapat Road, Pune, India

Correspondence Address:
Shivadeo Bapat
Janhavi, 797/4 Bhandarkar Inst. Road, Pune - 411 004
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.32061

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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.


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