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Complications and Clinical Outcome 18 Months After Bipolar and Monopolar Transurethral Resection of the Prostate
Karolinska Institute.
Karolinska Institute.
Linköping University, Department of Medical and Health Sciences, Anesthesiology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Sinnescentrum, Department of Anaesthesiology and Surgery UHL.
2011 (English)In: Journal of endourology, ISSN 0892-7790, E-ISSN 1557-900X, Vol. 25, no 6, 1043-1049 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Mary Ann Liebert, Inc. , 2011. Vol. 25, no 6, 1043-1049 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-69900DOI: 10.1089/end.2010.0714ISI: 000291553500025OAI: diva2:433289
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. Copyright: Mary Ann Liebert, Inc. Available from: 2011-08-09 Created: 2011-08-08 Last updated: 2012-03-19

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