A Hybrid Technique Using Bipolar Energy in Transurethral Prostate Surgery: A Prospective, Randomized Comparison

Tefekli̇, Ahmet; Müslümanoğlu, Ahmet Yaser; Baykal, Murat; Binbay, Murat; Taş, Aytül; Altunrende, Fatih

doi:10.1097/01.ju.0000173075.62504.73

Cited by 139 publications

(136 citation statements)

References 17 publications

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“…Yang et al 9 found a significant advantage with the bipolar method, but no significant difference for bleeding tendency was shown in recent studies or in our patients. 10,23 An increased risk of stricture after bipolar resection 20,21 was not confirmed by our findings, which is in accordance with other authors. 8,10,14 The higher number of strictures in the 'bipolar' study arm of some authors 10 might be because of the TUR in saline system.…”

Section: Discussionsupporting

confidence: 88%

“…Literature by the manufacturer confirmed that the TUR in saline system did not meet the bipolar definition and the criteria set by the International Electrosurgical Commission, which requires both active and return electrodes to be attached to single support system. 24 Differences in the stricture rate found by other authors 20 were later reported to be statistically insignificant. 25 Our study is the largest comparison of two surgical approaches, with more than 2 years of follow-up so far (Table 6).…”

Section: Discussionmentioning

confidence: 85%

“…Despite low mortality (0.25%), it does 10,[17][18][19][20] The theoretical advantages offered by the new technology and structural aspects of the bipolar system were designed to avoid these very problems.…”

Section: Discussionmentioning

confidence: 99%

“…By 2007, the median number of years of experience in urology was 10 years (range [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Patients in both study arms were treated by the same surgeons.…”

Section: Discussionmentioning

confidence: 99%

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Bipolar versus monopolar TURP: a prospective controlled study at two urology centers

Engeler

Schwab

Neyer³

et al. 2010

Prostate Cancer Prostatic Dis

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We compared bipolar and monopolar TURP in a prospective controlled study at two urology centers. The objective of the study was to establish whether there were differences between the two methods with regard to frequency of the transurethral resection (TUR) syndrome, amount of fluid absorbed during surgery, risk of hemorrhage, duration of postoperative catheterization and duration of hospitalization. The duration of surgery, improvement in maximum flow rate (Q-max), residual urine volume, International Prostate Symptom Score (IPSS) and Quality of Life (QoL) score were also compared. Overall, our study showed that there were no major differences between bipolar and monopolar TURP. During follow-up, the clinical efficacy of bipolar TURP has been maintained to the same degree as with the traditional method, with no significant differences for Q-max, IPSS and QoL scores after 1 year. Although the risk of developing TUR syndrome seemed to be smaller with bipolar resection (serum sodium change bipolar versus monopolar: þ 1.2 versus À0.1 mmol l À1 ), the bleeding tendency with both methods was the same (14.0 g l À1 hemoglobin loss after 1 day in both groups). On the basis of our findings, we think that the monopolar technique has still a place in TURP.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Bipolar versus monopolar TURP: a prospective controlled study at two urology centers

Engeler

Schwab

Neyer³

et al. 2010

Prostate Cancer Prostatic Dis

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“…6 Anecdotally, urologists have observed better intraoperative visibility during bipolar resection, which may also enhance resident education. 7 Bipolar TURP provides an equivalent relief of LUTS and QoL improvement at 6 months compared to conventional monopolar TURP. The safety profile of both procedures in regards to operative and postoperative complications was comparable.…”

Section: Discussionmentioning

confidence: 99%

A multicentre single-blind randomized controlled trial comparing bipolar and monopolar transurethral resection of the prostate

Méndez-Probst

Nott

Pautler

et al. 2011

cuaj

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Introduction: Monopolar transurethral resection of the prostate (TURP) is the gold standard surgical therapy for men with lower urinary tract symptoms due to benign prostatic hyperplasia. Although generally considered safer, TURP experience is limited in Canada. Methods: Forty-three patients from 5 Canadian centres were randomized to TURP with either bipolar or monopolar platforms. Patients underwent baseline determinations of American Urological Association (AUA) symptom score, peak urinary flow rate, postvoid residual bladder volume and transrectal ultrasound prostate volume. Primary outcome measures were improvement in AUA symptom score, quality of life assessment and bother assessment. Secondary outcomes included procedural times, duration of catheterization, length of hospitalization, complications and the degree of thermal artifact in tissue specimens. Patients were followed for 6 months. Results: Twenty-two patients were treated with bipolar and 21 with monopolar TURP. Preoperative demographics were not statistically different between groups. Postoperative data collection times were equivalent in AUA symptom, quality of life, bother and sexual function assessments. No differences were observed in the procedure time (60.7 min, bipolar vs. 47.4, monopolar) or the duration of urethral catheterization (1.5 days, bipolar vs. 1.1, monopolar). More patients in the bipolar group were discharged on the same day of surgery. There were no differences in the degree of tissue thermal artifact or complication rate. Conclusion: This trial suggests equivalent short-term outcomes for men undergoing monopolar or bipolar TURP.

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Bipolar versus monopolar transurethral resection of the prostate for lower urinary tract symptoms secondary to benign prostatic obstruction

Alexander

Scullion

Omar

et al. 2019

Cochrane Database of Systematic Reviews

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A Hybrid Technique Using Bipolar Energy in Transurethral Prostate Surgery: A Prospective, Randomized Comparison

Cited by 139 publications

References 17 publications

Bipolar versus monopolar TURP: a prospective controlled study at two urology centers

Bipolar versus monopolar TURP: a prospective controlled study at two urology centers

A multicentre single-blind randomized controlled trial comparing bipolar and monopolar transurethral resection of the prostate

Bipolar versus monopolar transurethral resection of the prostate for lower urinary tract symptoms secondary to benign prostatic obstruction

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