TRANSURETHRAL MONOPOLAR VERSUS BIPOLAR ENUCLEATION OF THE PROSTATE: A PROSPECTIVE RANDOMIZED STUDY | ||
| Zagazig University Medical Journal | ||
| Article 11, Volume 28, Issue 2, March 2022, Pages 260-267 PDF (395.9 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2020.17715.1566 | ||
| Authors | ||
| Asem Kamal Khalifa Suleiman* 1; Ashraf Mohamed Samy Shahin2; Aref Mohamed Maarouf2; Mohamed Mahmoud Seleem2 | ||
| 1Department of Urology, Faculty of Medicine - Al-Zawayah University - Libya | ||
| 2Department of Urology, Faculty of Medicine – Zagazig University, Egypt | ||
| Abstract | ||
| Background: Transurethral enucleation and resection of the prostate (TUERP) is a recently developed procedure. In which the prostate is transurethrally enucleated and resected using a bipolar and monopolar resectoscope. Aim of the work: The aim of this study is to compare efficacy and safety of monopolar (M-TUERP) versus bipolar (B-TUERP) in medium volume prostate. Patients & Methods: The study was conducted in the Department of Urology, Zagazig University Hospitals, between the period of March 2018 and February 2019 on 24 patients divided in to 2 groups (12 patients in monopolar group and 12 patients in bipolar group). Results: During the operative period, resected tissue was significantly higher in monopolar TUEP group compared to bipolar TUEP group. There was a significant increase in the catheter time and hospital stay among patients in monopolar TUEP group compared to bipolar TUEP group. Regarding post-operative follow up of patients, there was no significant difference in the mean values of IPSS, Qmax and PVR and IIEF between both groups. Conclusions: Our study concluded that, monopolar enucleation of prostate adenoma is feasible and effective, but associated with high complications, Moreover B-TUEP associated with lower complications and hospital stay, catheter time and less Hg and Na loss than M-TUEP, Moreover resected prostatic tissue was significant higher in M-TUEP than B-TUEP. | ||
| Keywords | ||
| Enucleation of The Prostate; Benign Prostatic Hyperplasia; medium volume prostate | ||
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