liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Bipolar transurethral resection of the prostate causes less bleeding than the monopolar technique: a single-centre randomized trial of 202 patients
Karolinska Institutet, Södersjukhuset, Stockholm, Sweden.
Karolinska Institutet, Södersjukhuset, Stockholm, Sweden.
Clinical Research Centre, Södertälje Hospital, Sweden.
2010 (English)In: BJU International, ISSN 1464-4096, E-ISSN 1464-410X, Vol. 105, no 11, 1560-1564 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To compare bipolar with the conventional monopolar transurethral resection of the prostate (TURP) for blood loss and speed of resection.

PATIENTS AND METHODS: In all, 202 consecutive patients from the hospital waiting list were randomized to undergo TURP using either a bipolar system (Surgmaster TURis, Olympus, Tokyo, Japan) or a monopolar system (24 F, Storz, Tübingen, Germany). The blood loss during and after surgery was measured using a photometer. Other variables compared included indices of resection speed and transfusion rate.

RESULTS: There were no statistically significant differences in operative duration, resection weight, resection speed or radicality of resection. However, the median blood loss was 235 mL for the bipolar and 350 mL for monopolar TURP (P < 0.001). The decrease in blood haemoglobin concentration during the day of surgery was smaller in the bipolar group (5.5% vs 9.6%P < 0.001). Fewer patients were transfused with erythrocytes (4% vs 11%, P < 0.01), which can be explained by the much lower 75th percentile for blood loss in the bipolar group (at 472 vs 855 mL, respectively).

CONCLUSIONS: Bipolar TURP using the TURis system was performed with the same speed as monopolar TURP but caused 34% less bleeding, the difference being greatest (81%) for the largest blood losses. Bipolar TURP also required fewer erythrocyte transfusions than the conventional monopolar technique.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2010. Vol. 105, no 11, 1560-1564 p.
Keyword [en]
bipolar, TURP, bleeding, monopolar, transfusion, haemorrhage
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-100207DOI: 10.1111/j.1464-410X.2009.09052.xPubMedID: 19912211OAI: diva2:660729
Available from: 2013-10-30 Created: 2013-10-30 Last updated: 2013-11-12Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Hahn, Robert G.
In the same journal
BJU International
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 39 hits
ReferencesLink to record
Permanent link

Direct link