COMPARISON OF BIPOLAR AND MONOPOLAR CAUTRY USE IN TURP FOR TREATMENT OF ENLARGED PROSTATE

Mushtaq Ahmad, Hazratullah Khan, Amin ullah, Iqra Masood, Warda Masood, Asif Malik

Abstract


Background: In recent years, bipolar Transurethral resection of prostate (TURP) has been
increasingly being used by urologist instead of conventional monopolar TURP for the treatment of
enlarge prostate. Bipolar TURP is considered to be more efficacious and has better clinical outcome in comparison with monopolar TURP. We compared both procedures to assess their clinical
out-comes and efficacy by comparing their different parameters. Methods: This randomized
control trial was conducted in the Institute of Kidney Diseases and Transplant Peshawar over 220
consecutive patients from Sep 2013 to Dec 2014. Patients were randomly divided in two groups.
Maximum flow rate (Q max), duration of resection, weight of tissue resected, TUR syndrome,
blood transfusion and duration of hospital stay and catheterization were compared in both groups.
Results: There were 110 patients in both groups each. Post-operative Q max, duration of
resection, weight of tissue resected, duration of hospital stay, duration of catheterization was
statistically insignificant. While statistically significant difference was found only the duration of
procedure. Conclusion: Bipolar and monopolar have the same clinical out-come and complication
rates, yet the monopolar TURP requires significantly less operating time in comparison to bipolar
TURP efficacy. Both procedures can be used for the treatment equally however if urologist want
to save the time he should use monopolar TURP.
Keywords: Monopolar TURP; Bipolar TURP; Enlarge Prostate


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