COMPARISON OF OUTCOME OF BIPOLAR VERSES MONOPOLAR TRANS URETHRAL RESECTION OF PROSTATE IN PATIENTS WITH BENIGN PROSTATIC ENLARGEMENT

Abstract

Background: The most prevalent condition affecting older men is benign prostate enlargement, or BPE. The most effective treatment for benign prostatic blockage is still transurethral resection of the prostate (TURP) combined with monopolar diathermy. Recently, a less invasive surgical technique for treating BPE was introduced: bipolar plasma kinetic TURP (BP-TURP) with isotonic saline irrigation. The benefits of bipolar TURP include the eradication of TURP syndrome, reduced risk of capsule damage, improved tissue orientation, and a self-cleaned loop.

Objectives: To compare the outcome of bipolar versus monopolar trans-urethral resection of prostate.

Methods: It is randomized controlled trial conducted at OPD of Department of Urology, Lahore General Hospital, Lahore for 12 months. 90 male patients aged >60 years presenting with BPE were admitted from. Patients were randomly divided in two groups by using lottery method. In Group A, patients underwent Monopolar TURP and in Group B, patients underwent Bipolar TURP. Outcome was noted in terms of blood loss and post-operative hospital stay. The collected data was entered and analyzed through SPSS version 25.0.

Results: The mean operative time was almost similar in both groups (55 vs 51 min). Post-operative hospital for M-TURP was 57.7+17.31 hours and for B-TURP was 37.2+15.03 hours. The mean duration of catheterization was found to be higher in M-TURP 3.31 (0.5) and B-TURP duration was 2.55 (0.4). Post-operative hospital stay for M-TURP was 57.7+17.31 hours and for B-TURP was 37.2+15.03 hours (p<0.05).

Conclusion: This study showed that Bipolar TURP has advantage for decreasing the risk of causing TUR syndrome and significant improvement in the bleeding before and after surgical procedure and late complications. The mean hospital stay duration was shorter in bipolar TURP than monopolar TURP group.