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. 2016 Feb 19:6:21494.
doi: 10.1038/srep21494.

Bipolar versus monopolar transurethral resection of the prostate for benign prostatic hyperplasia: safe in patients with high surgical risk

Er J Yang  1 , Hao Li  1 , Xin B Sun  1 , Li Huang  1 , Li Wang  1 , Xiao X Gong  1 , Yong Yang  1
Affiliations

Bipolar versus monopolar transurethral resection of the prostate for benign prostatic hyperplasia: safe in patients with high surgical risk

Er J Yang et al. Sci Rep. .

Abstract

Here, we compared the effects of bipolar and monopolar transurethral resection of the prostate (B-TURP, M-TURP) for treating elderly patients (≥75 years) with benign prostatic hyperplasia(BPH) who had internal comorbidities. Eligible BPH patients were aged ≥75 years and had at least one internal comorbidity. In this open-label, prospective trial, patients were assigned to B-TURP (n = 75) and M-TURP (n = 88) groups. Data on prostate volume (PV), urination, and time during perioperative period were compared; data associated with urination and complications at one year postoperatively were also compared. Finally, follow-up data were available for 68 and 81 patients in the B-TURP and M-TURP group, respectively. No deaths were recorded. Intraoperative bleeding was lower and irrigation time, indwelling catheter time, and hospital stay were shorter in the B-TURP group than in the M-TURP group (p < 0.001). No difference was observed with respect to operation time (p = 0.058). At one year after the operation, differences with respect to urination and complications were not significant. In conclusion, Short-term efficacy of B-TURP or M-TURP was satisfactory for elderly patients with BPH who had internal comorbidities. Besides, B-TURP is a more sensible choice because it has a lower prevalence of adverse effects.

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References

    1. Elshal A. M. et al. Holmium: YAG transurethral incision versus laser photoselective vaporization for benign prostatic hyperplasia in a small prostate. J Urol 191, 148–54 (2014). - PubMed
    1. Ho H. S. S. et al. A prospective randomized study comparing monopolar and bipolar transurethral resection of prostate using transurethral resection in saline (TURIS) system. Eur Urol 52, 517–524 (2007). - PubMed
    1. Mamoulakis C. et al. Midterm results from an international multicentre randomized controlled trial comparing bipolar with monopolar transurethral resection of the prostate. Eur Urol 63, 667–676 (2013). - PubMed
    1. Fayad A. S. et al. Holmium Laser Enucleation Versus Bipolar Resection of the Prostate: A Prospective Randomized Study. Which to Choose? Journal of Endourology 25, 1347–52 (2011). - PubMed
    1. Ebust W. et al. Correlations between pathology, clinical symptoms and the course of the disease. In Cockett A. T. K., Aso Y., Chatelain C. et al. eds, Proceedings of the lnternational Consultation on Benign Prostatic Hyperplasia[D]. Geneva: WHO, 51–62 (1991).