MICROWAVE SURGERY AS A TOOL FOR BETTER PROSTATIC ELECTRORESECTION

Part II: Clinical Study

Abstract

Microwave surgery as a tool for better prostatic electroresection was introduced. The prostate was radiated with 2, 450MHz microwave from the monopolar electrode of a specially designed applicator prior to electroresection. We did comparative study in 25 patients with benign prostatic hypertrophy between microwave coagulation group followed by transurethral resection and conventional transurethral resection group with respect to blood loss, irrigant absorption and frequency of complication. During and after operation, the former group has significant reduction of blood loss, and had no complications. We concluded that the combination procedure of microwave coagulation and transurethral resection could minimize the disadvantages of formal transurethral resection, and might be of value in patients with bladder neck obstraction due to prostatic hypertrophy in the presence of hemorrhagic diathesis or in poor risk patients.