Bipolar TURP decreases post-operative morbidity – A prospective study in a tertiary care hospital from north India

Authors

  • Rajesh Kumar Maurya Professor, Department of General Surgery, GSVM Medical College, Kanpur, Uttar Pradesh, India
  • Vinay Kumar Associate Professor, Department of General Surgery, GSVM Medical College, Kanpur, Uttar Pradesh, India
  • Kumar Vineet Resident, Department of General Surgery, GSVM Medical College, Kanpur, Uttar Pradesh, India https://orcid.org/0000-0002-8077-1299

DOI:

https://doi.org/10.3126/ajms.v12i8.37263

Keywords:

Transurethral resection of prostate (TURP), Monopolar, Bipolar, TUR Syndrome, Saline, Glycine, Prostate

Abstract

Background: Transurethral resection of prostate is considered as gold standard surgical procedure for treatment of benign enlargement of prostate. It can be performed in two forms- monopolar transurethral resection and bipolar transurethral resection.

Aims and Objective: This study was conducted to know which energy source among monopolar and bipolar energy leads to more post-operative morbidity after performing transurethral resection of prostate.

Materials and Methods: In this study, total eighty (80) cases were included. They were suffering from lower urinary tract symptoms which were diagnosed to be due to benign enlargement of prostate after careful clinical and radiological examination. In forty cases, transurethral resection of prostate was performed by using monopolar energy source and in another forty cases, resection of prostate by transurethral route was done using bipolar energy source.

Results: In our study, we found that development of TURP syndrome was more in monopolar TURP group in which pre-operative weight of prostate was more than 50 grams in comparison to bipolar TURP group in which there was no incidence of development of TURP syndrome in same class. Further, post-operative hospital stay and post-operative urethral catheter in situ was less in bipolar TURP group in terms of days as compared to monopolar TURP group.

Conclusion: Our study concludes that Bipolar TURP is better in terms of development of less post-operative morbidity as compared to monopolar TURP. Bipolar TURP must be used extensively in teaching hospitals where students take more time than a seasoned surgeon to perform a surgical procedure and bipolar TURP will come handy in that situation.

Downloads

Download data is not yet available.
Abstract
246
PDF
299
Cover AJMS

Downloads

Published

2021-07-30

How to Cite

Maurya, R. K., Kumar, V., & Vineet, K. (2021). Bipolar TURP decreases post-operative morbidity – A prospective study in a tertiary care hospital from north India. Asian Journal of Medical Sciences, 12(8), 60–64. https://doi.org/10.3126/ajms.v12i8.37263

Issue

Vol. 12 No. 8 (2021)

Section

Original Articles

License

Copyright (c) 2021 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).