NICE approves PLASMA system for enlarged prostate
NICE has issued final guidance giving the go-ahead for the use of the PLASMA system in treating men who suffer with an enlarged prostate.
The PLASMA system uses electrodes to cut out prostate tissue and stop any local bleeding afterwards, reducing the risk of serious complications.
Clinical outcomes are the same as the conventional monopolar transurethral resection of the prostate (mTURP) operation, but PLASMA avoids the risk of transurethral resection syndrome and reduces the need for blood transfusion and the length of hospital stay. This means that the treatment costs are less than for mTURP – saving hospitals up to £534 per procedure.
One in three men over the age of 50 have symptoms of an enlarged prostate, including the need to urinate more frequently, with more urgency and have difficulty emptying their bladder.
Surgery is offered to patients with prostate enlargement if their problems in passing urine are severe or if drug treatment and lifestyle changes have been unsuccessful. Around 15,000 prostate resection procedures are carried out each year in England and Wales.
Meindert Boysen, director of the Centre for Health Technology Evaluation at NICE, said: "Surgery can completely change a man's quality of life and the evidence seen by our committee shows this treatment is clinically effective and cost-saving to the NHS."
Cost modelling estimates that the PLASMA system saves £459 per procedure compared with mTURP, assuming a reduced two-day length of stay. Evidence also suggests there are reduced readmissions compared with mTURP, increasing the cost saving to between £418 and £534 for each operation. More than 110 centres across the NHS are able to offer the PLASMA procedure.
Record my learning outcomes
Inspiring stories related to health, fitness and the pursuit of wellbeing
More like this
Frustration at Easter opening instruction to pharmacies
All pharmacies in England are to open from 2pm to 5pm on Good Friday and Easter Monday without any additional payment, said NHSE&I.
2 Min Article
NICE calls on commissioners to promote pharmacy services
Local health commissioners should consider promoting community pharmacies as a first port of call for health and wellbeing, NICE has said.
1 Min Article
Govt backs down from 3k pharmacy closures position
Government ministers have publicly distanced themselves from the previous Conservative administration’s position on pharmacy closures.
1 Min Article
Pay concerns 'driving retention issues in pharmacy'
Concerns around pay and workload are partly behind growing retention issues among the community pharmacy workforce, a new report warns.
1 Min Article
Pain conversations - making effective recommendations
Explore our detailed case studies to help understand how to advise customers on different causes of pain.
15 Min Module
Covid-19 and mental health
Viatris has created this short video based on a publication reviewing global research into the potential impact of the Covid-19 pandemic on mental health. It identifies six areas where psychiatrists can play a role in supporting people's mental health through these difficult times.
4 Min Module
Helping customers treat & care for their scalp
Understanding the causes and symptoms of some common scalp conditions will help you to make a real difference to your customers’ lives. Complete this module to discover self-care and product advice to help ease symptoms and maintain scalp health.
10 Min Module