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.

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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

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