PLASMA – THE PROVEN CHOICE
EAU Recommended and Clinically Investigated
EAU Guideline 2016
For all prostate sizes, PLASMA (TURis / bipolar resection) is one of the recommended first-choice treatment. For larger prostates, PLASMA enucleation is equally recommended as HoLEP and open prostatectomy.
Surgical Treatment – Transurethral Resection of the Prostate and Transurethral Incision of the Prostate
| Recommendations | LE | GR |
|---|---|---|
| B-TURP achieves short- and mid-term results comparable to those of M-TURP. | 1a | A |
| B-TURP has a more favorable perioperative safety profile than M-TURP. | 1a | A |
| OPs or EEPs such as holmium laser or bipolar enucleation are the first-choice surgical treatment for men with a substantially enlarged prostate (e.g., > 80 mL) and moderate-to-severe LUTS. | 1a | A |
Evidence Supporting Olympus PLASMA (TURis)
- B-TURP is the most widely and thoroughly investigated alternative to M-TURP
- The evidence available to date includes 15 good-quality randomized controlled trials done specifically on Olympus PLASMA (TURis)15,18
- Recent meta-analyses showed that TURis reduces the risk of TUR syndrome, the need for blood transfusions, and the clot retention rate compared to M-TURP15,18
- Due to this improved safety standard the TURis system may reduce the length of hospital stay and readmissions after the surgery6,18
- Mid-term results (up to 30 months) show sustained results for TURis compared to M-TURP14
Comparison of Greenlight Laser XPS 180W and Olympus PLASMA to Current Standard of Care
Number of Existing Randomized Controlled Trials (RCT)
Greenlight Laser XPS 180W
N=12,16
PLASMA (TURis)
N=1515,18
Number of Patients Involved in These RCTs
Greenlight Laser XPS 180W
N=2812,16
PLASMA (TURis)
N=316815,18
Schematic drawings have been adapted in relationship to the original data
The amount of high-quality evidence for TURis overwhelms that of Greenlight Laser XPS 180W.
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