TY - JOUR AU - Méndez-Probst, Carlos E. AU - Nott, Linda AU - Pautler, Stephen E. AU - Razvi, Hassan PY - 2013/04/15 Y2 - 2024/03/28 TI - A multicentre single-blind randomized controlled trial comparing bipolar and monopolar transurethral resection of the prostate JF - Canadian Urological Association Journal JA - CUAJ VL - 5 IS - 6 SE - Original Research DO - 10.5489/cuaj.724 UR - https://cuaj.ca/index.php/journal/article/view/724 SP - 385-9 AB - <p>Introduction: Monopolar transurethral resection of the prostate<br />(TURP) is the gold standard surgical therapy for men with lower urinary<br />tract symptoms due to benign prostatic hyperplasia. Although<br />generally considered safer, TURP experience is limited in Canada.</p><p>Methods: Forty-three patients from 5 Canadian centres were randomized<br />to TURP with either bipolar or monopolar platforms.<br />Patients underwent baseline determinations of American Urological<br />Association (AUA) symptom score, peak urinary flow rate, postvoid<br />residual bladder volume and transrectal ultrasound prostate<br />volume. Primary outcome measures were improvement in AUA<br />symptom score, quality of life assessment and bother assessment.<br />Secondary outcomes included procedural times, duration of catheterization,<br />length of hospitalization, complications and the degree<br />of thermal artifact in tissue specimens. Patients were followed for<br />6 months.</p><p>Results: Twenty-two patients were treated with bipolar and 21 with<br />monopolar TURP. Preoperative demographics were not statistically<br />different between groups. Postoperative data collection times were<br />equivalent in AUA symptom, quality of life, bother and sexual<br />function assessments. No differences were observed in the procedure<br />time (60.7 min, bipolar vs. 47.4, monopolar) or the duration<br />of urethral catheterization (1.5 days, bipolar vs. 1.1, monopolar).<br />More patients in the bipolar group were discharged on the same<br />day of surgery. There were no differences in the degree of tissue<br />thermal artifact or complication rate.</p><p>Conclusion: This trial suggests equivalent short-term outcomes for<br />men undergoing monopolar or bipolar TURP.</p> ER -