ORIGINAL ARTICLE |
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Year : 2019 | Volume
: 30
| Issue : 6 | Page : 262-265 |
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Comparative assessment of monopolar versus bipolar transurethral resection of prostate for the management of benign prostatic enlargement
Kshitij Raghuvanshi, Abid Raval, Devendra Kumar Jain, Ketan P Vartak, Sachin Patil, Shams Iqbal, Rajesh Dhake, Hrishikesh Deshmukh
Department of Urology, Bharati Vidyapeeth Medical College and Hospital, Pune, Maharashtra, India
Correspondence Address:
Dr. Kshitij Raghuvanshi Department of Urology, Bharati Vidyapeeth Medical College and Hospital, Pune - 411 043, Maharashtra India
 Source of Support: None, Conflict of Interest: None  | 2 |
DOI: 10.4103/UROS.UROS_30_19
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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.
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