A prospective comparative study on the operative outcomes between monopolar versus bipolar transurethral resection of prostate for benign prostatic hyperplasia: An institutional experience

Authors

  • Vedamurthy Reddy Pogula Professor and Head, Department of Urology, Narayana Medical College, Nellore, Andhra Pradesh, India https://orcid.org/0000-0001-7778-2950
  • Ershad Hussain Galeti Senior Resident, Department of Urology, Narayana Medical College, Nellore, Andhra Pradesh, India https://orcid.org/0000-0003-3857-5400
  • Bhargava Reddy Kanchi V Assistant Professor, Department of Urology, Narayana Medical College, Nellore, Andhra Pradesh, India

DOI:

https://doi.org/10.3126/ajms.v12i11.38923

Keywords:

Benign prostate hypertrophy, Bipolar, Monopolar, Transurethral resection of prostrate

Abstract

Background: Benign prostatic hyperplasia (BPH) is a common disease in elderly men. Monopolar transurethral resection of prostate (M-TURP) is considered the gold standard for the treatment of bladder outlet obstruction due to BPH. Its modification, bipolar TURP (B-TURP), promises to overcome its most prominent drawbacks, such as bleeding and dilutional hyponatremia.

Aims and Objectives: This study aims to study the feasibility, effectiveness, and safety of B-TURP over M-TURP.

Materials and Methods: A total of 110 patients with BPH were prospectively randomly assigned to undergo B-TURP (55) or M-TURP (55). Patient characteristics of the two groups were similar. Hemoglobin was measured preoperatively and postoperatively. IPSS, maximal flow rate, and post-void residual urine volume were assessed preoperatively. Duration of surgery, mean weight of resected tissue, mean irrigation fluid used, mean drop in hemoglobin, mean change in sodium, and mean post-operative irrigation used were also compared.

Results: Duration of resection time was significantly shorter in M-TURP (P=0.0034). The mean change in sodium and mean post-operative irrigation used were significantly lower in bipolar group with P<0.05 and 0.0024, respectively. The mean drop in post-operative hemoglobin concentration (P=0.0916) was statistically insignificant. There was one instance of the transurethral resection (TUR) syndrome in the M-TURP group whereas no TUR syndrome occurred in the B-TURP group.

Conclusion: B-TURP and M-TURP are effective and safe techniques for the surgical treatment of BPH. B-TURP definitely reduces the incidence of dilutional hyponatremia and post-operative irrigation use making it a competitor to replace M-TURP as the new gold standard.

Downloads

Download data is not yet available.
Abstract
207
PDF
192

Downloads

Published

2021-11-01

How to Cite

Pogula, V. R., Galeti, E. H. ., & Kanchi V, B. R. . (2021). A prospective comparative study on the operative outcomes between monopolar versus bipolar transurethral resection of prostate for benign prostatic hyperplasia: An institutional experience. Asian Journal of Medical Sciences, 12(11), 125–132. https://doi.org/10.3126/ajms.v12i11.38923

Issue

Vol. 12 No. 11 (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).