Bipolar versus Monopolar Transurethral Resection of Prostate (TURP), Advantages and Disadvantages in a 6-Month Follow-Up
Message:
Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background
We compared bipolar TURP with current monopolar TURP for safety and efficacy in 6 months follow-up.
Methods
A total of 94 patients with LUTS (lower urinary tract symptom) related to BPH (benign prostatic hyperplasia) were included. They were randomized into group B, who underwent bipolar TURP (47 patients), and group M, who underwent monopolar TURP (47 patients). Preoperatively, by using IPSS (international prostate symptom scale) and IIEF-5 (international index of erectile function-5) questionnaires severity of LUTS and Erectile function were assessed. All patients were submitted to transrectal ultrasonography and PSA determination. Surgical and immediately postsurgical variables and accidents were charted; all cases were re-assessed at three and six months after surgery by use of IPSS and IIEF-5 (international index of erectile function-5) questionnaires. Urethral stricture incidence, post-surgical reoperation rate, total postoperative catheter time and hospital stay, change in serum sodium, and hemoglobin were also recorded in two groups.
Results
There was no distinct difference between two groups in regards to blood transfusion necessity. The level of serum Na was clearly lower in the monopolar group postoperatively. Catheterization time and duration of hospitalization were clearly shorter in the B-group; transurethral resection syndrome did not happen in any cases of the groups. The groups were corresponded about IPSS improvement. Changes in erectile function, regarding IIEF-5 scores, were similar between the groups.
Conclusions
Bipolar TURP is an impressive and secure technique that is correlated with a distinctly shorter catheterization time, shorter hospital stay, less decrement in the levels of serum sodium, and is correspondent with monopolar TURP in regards to efficacy by attention to IPSS IIEF-5 scores.
Keywords:
Language:
English
Published:
Jentashapir Journal of Cellular and Molecular Biology, Volume:9 Issue: 4, Aug 2018
Page:
1
magiran.com/p1906108  
دانلود و مطالعه متن این مقاله با یکی از روشهای زیر امکان پذیر است:
اشتراک شخصی
با عضویت و پرداخت آنلاین حق اشتراک یک‌ساله به مبلغ 990,000ريال می‌توانید 70 عنوان مطلب دانلود کنید!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی نامحدود همه کاربران به متن مطالب تهیه نمایند!
توجه!
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.
دسترسی سراسری کاربران دانشگاه پیام نور!
اعضای هیئت علمی و دانشجویان دانشگاه پیام نور در سراسر کشور، در صورت ثبت نام با ایمیل دانشگاهی، تا پایان فروردین ماه 1403 به مقالات سایت دسترسی خواهند داشت!
In order to view content subscription is required

Personal subscription
Subscribe magiran.com for 50 € euros via PayPal and download 70 articles during a year.
Organization subscription
Please contact us to subscribe your university or library for unlimited access!