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Bipolar transurethral resection of prostate: a new reference standard?
Henry S S Ho1, Christopher W S Cheng
1Department of Urology, Singapore General Hospital, Outram Road, Singapore.
Current Opinion in Urology
|December 20, 2007
Summary
Bipolar transurethral resection of prostate (TURP) offers similar efficacy to monopolar TURP but with reduced bleeding and shorter hospital stays. This method avoids transurethral resection syndrome, making it a safer alternative for benign prostate hyperplasia management.
Area of Science:
- Urology
- Surgical Technology
Background:
- Transurethral resection of prostate (TURP) is the standard surgical treatment for benign prostate hyperplasia.
- Bipolar TURP utilizes saline irrigation, reducing risks associated with water intoxication and electrical stimulation compared to monopolar devices.
Purpose of the Study:
- To review and present evidence comparing bipolar and monopolar TURP devices.
- To substantiate the advantages and disadvantages of bipolar TURP.
Main Methods:
- Systematic review of peer-reviewed published literature.
- Analysis of randomized clinical trials comparing bipolar and monopolar TURP.
Main Results:
- Bipolar TURP demonstrates less bleeding, shorter resection times, and reduced fluid absorption.
- Shorter catheterization and hospital stays are observed with bipolar TURP.
- Transurethral resection syndrome was not reported with bipolar TURP.
Conclusions:
- Bipolar TURP shows comparable clinical efficacy to monopolar TURP.
- Bipolar TURP minimizes bleeding risks and eliminates transurethral resection syndrome.
- Long-term data will further clarify durability and potential complications like urethral strictures.
