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Complications and Clinical Outcome 18 Months After Bipolar and Monopolar Transurethral Resection of the Prostate
Karolinska Institute.
Karolinska Institute.
Linköpings universitet, Institutionen för medicin och hälsa, Anestesiologi med intensivvård. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Sinnescentrum, Anestesi- och operationkliniken US.
2011 (Engelska)Ingår i: Journal of endourology, ISSN 0892-7790, E-ISSN 1557-900X, Vol. 25, nr 6, s. 1043-1049Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: To compare bipolar resection with the conventional monopolar transurethral resection of the prostate (TURP) with respect to peri- and postoperative complications and long-term outcome. Patients and Methods: Patients with consecutive benign prostatic hyperplasia needing surgery (n = 185) from the hospitals waiting list were randomized to TURP using either a bipolar or a monopolar system. Peri-and postoperative parameters were monitored, complications were registered, and timed micturition/International Prostate Symptom Score (TM/IPSS) forms were collected at 3 and 6 weeks and at 6 and 18 months. Results: Bipolar surgery was followed by a 16% to 20% higher percentage of the patients reporting ongoing improvement (fractional IPSS change greater than2) at 3 and 6 weeks after the surgery (p less than 0.05). There were fewer readmissions in the bipolar group than in the monopolar (5 vs. 13, p less than 0.05). No differences between the groups with respect to hospital stay and catheter duration was recorded. Bipolar and monopolar TURP resulted in marked and sustained improvements of IPSS, bother score, and TM. Conclusions: Bipolar TURP, using the transurethral resection in saline (TURis) system, resulted in significantly fewer postoperative readmissions, faster postoperative recovery, and equally long-lasting good results in TM/IPSS and bother score, as in monopolar TURP.

Ort, förlag, år, upplaga, sidor
Mary Ann Liebert, Inc. , 2011. Vol. 25, nr 6, s. 1043-1049
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:liu:diva-69900DOI: 10.1089/end.2010.0714ISI: 000291553500025OAI: oai:DiVA.org:liu-69900DiVA, id: diva2:433289
Anmärkning
Original Publication: Tim Fagerstrom, Claes R. Nyman and Robert Hahn, Complications and Clinical Outcome 18 Months After Bipolar and Monopolar Transurethral Resection of the Prostate, 2011, Journal of endourology, (25), 6, 1043-1049. http://dx.doi.org/10.1089/end.2010.0714 Copyright: Mary Ann Liebert, Inc. http://www.liebertpub.com/ Tillgänglig från: 2011-08-09 Skapad: 2011-08-08 Senast uppdaterad: 2017-12-08

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