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VOLUME 4 , ISSUE 3 ( July-September, 2018 ) > List of Articles


A Prospective Randomised Comparative Study of Monopolar Transurethral Resection of Prostate versus for Bipolar Resection of Prostate

Nanjundarao Srinath, Sunil Jhulmaria, Gurvinder S Sethi

Keywords : Benign prostatic hyperplasia, Bipolar resection of prostate, TURP

DOI: 10.5005/jp-journals-10045-0090

License: NA

Published Online: 01-10-2018

Copyright Statement:  NA


We conducted a prospective randomized study to compare bipolar resection of prostate (BRP) with mono-polar transurethral resection of prostate (mTURP). A total of 120 patients of symptomatic benign prostatic hyperplasia (BPH) were randomized into two groups and treated with bipolar resection of prostate with saline as irrigating fluid and monopolar TURP with 1.5% glycine as irrigation fluid. Pre- and post-op findings were recorded up to 6 months in all patients. Both the groups were comparable in age, prostate size regarding volume, international prostate symptom score (IPSS) and hemoglobin levels. The TURP group showed a statistically significant decline in Hb from the preoperative value. Postoperative serum sodium level was significantly low in the mTURP group than in the BRP group. We did not come across transurethral resection (TUR) syndrome in any patient. There was no significant difference in operation time, catheterization time, hospital stay among the two groups. Postoperative improvement in IPSS was similar. The peak urine flow (Q Max) was significantly high in bipolar resection group. Bipolar resection of prostate ha s lower intraoperative complications and improved results compared to monopolar TURP.

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