The underlying high-frequency technology of PLASMA has been used for over 17 years and offers therapy options for patients with benign prostatic hyperplasia (BPH) and non-muscle-invasive bladder cancer (NMIBC).. Now, with the third-generation bipolar technology, we have integrated the latest knowledge, experience and innovation.
Our Most Advanced Energy System Yet: PLASMA+
The + in Variety
From BPH to NMIBC — One System for Individual PLASMA Treatment
Combined with the intelligent ESG-410 power control unit, Olympus provides an extended portfolio of electrodes to expand your treatment possibilities.
With resection loops in different sizes and angles, needle and band electrodes, oval and round vaporisation buttons and a special enucleation loop, the Olympus PLASMA+ system provides a wide range of solutions for BPH and NMIBC treatment.
PLASMA PROCEDURES FOR BPH
PLASMA BPH Resection
Transurethral resection remains the most common treatment for BPH and NMIBC. For PLASMA resections, bipolar HF current is used to create the PLASMA corona that vaporises prostatic or vesical tissue.
- Strong safety profile compared to monopolar resection (valid for all PLASMA procedures).5
- High tissue ablation rate.22,23,24
- More precise cutting and coagulation compared to monopolar resection.25
- Short learning curve.26
- Enables preservation of sexual function, including antegrade ejaculation, via the ejaculation-preserving resection technique.27
- High-quality pathological samples.
Recommended Resection Electrodes
Apart from applying various technical approaches (Nesbit, Barnes, etc.), resections can be done using a wide variety of colour-coded electrodes. The Olympus PLASMA+ portfolio features different loop sizes and widths, thus providing surgeons with a solution for different patient profiles.
- Medium loop electrodes are the standard and used in most transurethral resections (TUR).
- Large loop electrodes enable faster and smoother operation with higher tissue ablation rates, especially for large prostates.
- The band electrode provides continuos hemostasis already while cutting and even higher stability, also for enucleation.
PLASMA vaporisation provides a safe, easy-to-use solution for TUR tissue-management procedural needs in which energised gas smoothly vaporises the tissue.
The interaction between the electrode and the high-frequency generator combined with the easy-to-learn "hovering technique" enables effective, fast and virtually bloodless ablation.
- Ideal for smaller to medium-sized prostates.
- Fewer severe complications and readmissions compared to transurethral resections of the prostate (TURP). 6,7
- Shorter hospital stays compared to TURP with potential for day-case surgery. 20
- Continous hemostasis — demonstrated use in patients on anticoagulants. 21
- Unobstructed view throughout the operation; neither tissue nor laser impulses impair vision.
Recommended Vaporisation Electrodes
Our PLASMA vaporisation solutions offer an easy-to-learn, reliable and more cost-efficient solution for BPH.
- PlasmaButton (round).
- With its optimised shape, the new Plasma-OvalButton allows 21% faster vaporisation. 34
PLASMA NMIBC Resection
Performing conventional or en bloc resection of NMIBC using PLASMA+ in combination with Narrow Band Imaging (NBI) enables the surgeon to offer the optimal therapy for the patient.
- More precise cutting and coagulation compared to monopolar resection. 25
- Ignition in free saline potentially leading to more control. 33
- Can be associated with an equal resection performance compared to M-TURBT. 30,31
- May be more efficient in peri- and post-operative phase due to fewer complications. 32
Recommended Resection Electrodes
Apart from applying different resection techniques for bladder cancer resection, a variety of colour-coded electrodes can be used. The Olympus portfolio features electrodes for the treatment of various bladder tumor types, providing surgeons with a solution for different patient profiles.
- Needle electrode — particularly suitable for en bloc resection.
- Loop electrode — in different sizes adapting to the tumor size.
- Angled loop electrode — to better reach the anterior bladder wall.
Explore Further Benefits of PLASMA+
The + in Usability
Natural Occurrences of PLASMA
- 1.Effects of bipolar and monopolar transurethral resection of the prostate on urinary and erectile function: a prospective randomized comparative study.
- 2.A European multicenter randomized noninferiority trial comparing 180 W GreenLight XPS laser vaporization and transurethral resection of the prostate for the treatment of benign prostatic obstruction: 12-month results of the GOLIATH study.
- 3.Bipolar transurethral resection in saline vs traditional monopolar resection of the prostate: results of a randomized trial with a 2-year follow-up.
- 4.Bipolar transurethral resection in saline system versus traditional monopolar resection system in treating large-volume benign prostatic hyperplasia.
- 5.EAU Guidelines on Management of Non-Neurogenic Male Lower Urinary Tract Symptoms (LUTS), incl. Benign Prostatic Obstruction (BPO).
- 6.Complications and clinical outcome 18 months after bipolar and monopolar transurethral resection of the prostate.
- 7.Bipolar PLASMA vaporization vs monopolar and bipolar TURP–a prospective, randomized, long-term comparison.
- 8.A prospective randomized study comparing monopolar and bipolar transurethral resection of prostate using transurethral resection in saline (TURIS) system.
- 9.Incidence of urethral stricture after bipolar transurethral resection of the prostate using TURis: results from a randomised trial.
- 10.Endoscopic enucleation versus open prostatectomy for treating large benign prostatic hyperplasia: a metaanalysis of randomized controlled trials.
- 11.Bipolar Resection in Saline – An Alternative Surgical Treatment for Bladder Outlet Obstruction?
- 12.Bipolar transurethral resection in saline: the solution to avoid hyponatraemia and transurethral resection syndrome.
- 13.Urethral strictures and bipolar transurethral resection in saline of the prostate: fact or fiction?
- 14.The PLASMA system for transurethral resection and haemostasis of the prostate.
- 15.GreenLight XPS for treating benign prostatic hyperplasia.
- 16.Transurethral Bipolar Enucleation of the Prostate Is an Effective Treatment Option for Men With Urinary Retention.
- 17.Economic value of the TURis system for treatment of benign prostatic hyperplasia in England and Wales: systematic review, meta-analysis and cost-consequence model.
- 18.Bipolar PLASMA enucleation of the prostate vs open prostatectomy in large benign prostatic hyperplasia cases - a medium term, prospective, randomized comparison.
- 19.“Button type” bipolar Plasma vaporisation of the prostate compared with standard transurethral resection: a systematic review and meta-analysis of short-term outcome studies.
- 20.Transurethral resection (TUR) in saline PLASMA vaporization of the prostate vs standard TUR of the prostate: “the better choice” in benign prostatic hyperplasia?
- 21.Surgical management of BPH in patients on oral anticoagulation: transurethral bipolar PLASMA vaporization in saline versus transurethral monopolar resection of the prostate.
- 22.A prospective, randomized clinical trial comparing plasmakinetic resection of the prostate with holmium laser enucleation of the prostate based on a 2-year followup.
- 23.Holmium laser enucleation versus bipolar resection of the prostate: a prospective randomized study. Which to choose?
- 24.Comparison of outpatient versus inpatient transurethral prostate resection for benign prostatic hyperplasia: Comparative, prospective bi-centre study.
- 25.Histologic Effects of the GYRUS Resection System Versus Standard Electrocautery Resection in the Treatment of Bladder Tumors.
- 26.Management of large prostatic adenoma: Lasers versus bipolar transurethral resection of prostate.
- 27.Ejaculation-preserving transurethral resection of prostate and bladder neck: short- and long-term results of a new innovative resection technique.
- 28.Electrosurgical enucleation versus bipolar transurethral resection for prostates larger than 70 ml: a prospective, randomized trial with 5-year followup.
- 29.A study comparing plasmakinetic enucleation with bipolar plasmakinetic resection of the prostate for benign prostatic hyperplasia.
- 30.Safety and Efficacy of Bipolar versus Monopolar Transurethral Resection of Bladder Tumor: A Systematic Review and Meta-Analysis.
- 31.Does Bipolar Energy Provide Any Advantage over Monopolar Surgery in Transurethral Resection of Non-Muscle Invasive Bladder Tumors? A Systematic Review and Meta-Analysis.
- 32.Comparison of perioperative outcomes including severe bladder injury between monopolar and bipolar transurethral resection of bladder tumors: a population based comparison.
- 33.Data on file. Bench test comparing plasma stability of ESG-410 with competitive generator.
- 34.Data on file. Bench test comparing plasma stability of ESG-410 with competitive generator.
- 35.Compared to existing Olympus vaporization electrode.Olympus internal lab testing; data on file.
- 36.Data on file. Resection volume versus medium loop.