Benign Prostatic Hypertrophy
Conditions
Brief summary
Transurethral therapy (TURiS / PVP) of benign prostatic hyperplasia (BPH) using an ethanol-containing saline irrigating fluid, prospective detected by breath alcohol measurement.
Detailed description
Aim was to evaluate the amount of absorbed saline irrigation fluid during transurethral therapy of benign prostatic hyperplasia (BPH). We want to differentiate two different methods of the surgical therapy: the TransUrethral Resection in Saline (TURiS) and the Photoselective Vaporisation of the Prostate (PVP). Both methods using saline irrigation. To measure the amount of absorbed saline irrigation fluid, we added pure Ethanol to the Irrigation fluid resulting in am 0,02% ethanol containing saline irrigation fluid. The conventional TransUrethral Resection of the Prostate (TUR) method is using electrolyte free irrigation. In the literature this method is well known for the occurence of the transurethral resection syndrome (TUR syndrome). This is caused by absorption of electrolyte-free irrigating fluid, followed by a hyponatraemic hyperhydration, and consists of symptoms from the circulatory and nervous Systems.
Interventions
photoselective laser-vaporisation of the prostate (PVP)
Saline Irrigation with Ethanol (alcohol)
transurethral electro-resection of the prostate (TURP)
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients in which a TURiS or PVP to be performed
Exclusion criteria
* Alcoholics, * Patients with severe hepatic impairment, * Epilepsy, * Existing metabolic acidosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| last breath alcohol measurement | Every 10 minutes, the breath alcohol is measured to 2 hours after the operation. Of these unnoticed, the intervention (surgery) is carried out until the end. It's all about the detection; the patient's treatment does not change. | Measurement will be done using a breath Alcohol device (Alcomed 3011, Envitec-Wismar Inc., Germany). The unit will be mg/l. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Surgical abortion with significant Absorption of irrigation fluid | Surgery will be last on average 1 hour | If a significant amount if Irrigation fluid is absorbed (\>1,5l), the procedure will be aborted |
Countries
Germany