Comparative assessment of monopolar versus bipolar transurethral resection of prostate for the management of benign prostatic enlargement.

Autor: Raghuvanshi, Kshitij, Raval, Abid, Jain, Devendra, Vartak, Ketan, Patil, Sachin, Iqbal, Shams, Dhake, Rajesh, Deshmukh, Hrishikesh
Zdroj: Urological Science; Nov-Dec2019, Vol. 30 Issue 6, p262-265, 4p
Abstrakt: Objectives: The objective is to compare monopolar transurethral resection of the prostate (M-TURP) versus bipolar TURP (B-TURP). Methods: In this prospective comparative study, 102 patients scheduled to undergo transurethral resection of prostate were enrolled and table randomized to surgery by M-TURP or B-TURP. International Prostate Symptom Score (IPSS), uroflowmetry, ultrasonography (kidney-ureter-bladder), prevoid, postvoid and laboratory investigations (for preanesthetic fitness) were done preoperative and 3-month postsurgery. Results: Patients were divided into two groups namely M-TURP and B-TURP. The mean age of patients was comparable between both groups. There is a significantly lower mean resection time in M-TURP compared to B-TURP. IPSS, postvoid residual volume, and Qmaximproved in both groups, and it was statistically insignificant. Drop in hemoglobin levels (g/dl) in patients of M-TURP was higher compared than B-TURP. Conclusions: Both M-TURP and B-TURP are safe and effective modality. However, B-TURP will surely replace M-TURP as gold standard. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index
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