A Prospective Randomized Study Comparing Monopolar and Bipolar Transurethral Resection of Prostate Using Transurethral Resection in Saline (TURIS) System

Ho, Henry Sun Sien; Yip, S. K. H.; Lim, Kok Bin; Fook, Stephanie; Foo, Keong Tatt; Cheng, Christopher

doi:10.1016/j.eururo.2007.03.038

Cited by 161 publications

(130 citation statements)

References 22 publications

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“…1,9,10,14 The differences between the two groups with regard to IPSS and Q-max-as the most important subjective and objective measures of the outcome of surgery-were not statistically significant. There were also no significant differences for QoL scores related to micturition.…”

Section: Discussionmentioning

confidence: 77%

“…One of the first randomized comparisons of bipolar and monopolar resection of the prostate by Ho et al 10 showed a significant advantage of the bipolar approach with regard to the occurrence of absorption syndrome Bipolar versus monopolar resection of the prostate DS Engeler et al (0 of 48 bipolar versus 2 of 52 monopolar resected patients); there were, however, no significant differences between the two groups with regard to postoperative complications, Q-max or IPSS. Bipolar technology, however, does not prevent fluid absorption.…”

Section: Discussionmentioning

confidence: 99%

“…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: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

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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“…[48][49][50][51][52] In general, many patients undergoing surgery should be considered at risk for the development of postoperative hyponatremia. Any neurologic symptoms during the perioperative period should raise suspicion for hyponatremia as a contributor and should prompt urgent evaluation of serum [Na ?…”

Section: Iso-osmolar Hyponatremiamentioning

confidence: 99%

Les troubles de l’équilibre hydrosodé chez les patients hospitalisés

Bagshaw

Townsend

McDermid

2008

Can J Anesth/J Can Anesth

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Purpose To review and discuss the epidemiology, contributing factors, and approach to clinical management of disorders of sodium and water balance in hospitalized patients. Source An electronic search of the MEDLINE, Embase, and Cochrane Central Register of Controlled Trials databases and a search of the bibliographies of all relevant studies and review articles for recent reports on hyponatremia and hypernatremia with a focus on critically ill patients. Principal findings Disorders of sodium and water balance are exceedingly common in hospitalized patients, particularly those with critical illness and are often iatrogenic. These disorders are broadly categorized as hypo-osmolar or hyper-osmolar, depending on the balance (i.e., excess or deficit) of total body water relative to total body sodium content and are classically recognized as either hyponatremia or hypernatremia. These disorders may represent a surrogate for increased neurohormonal activation, organ dysfunction, worsening severity of illness, or progression of underlying chronic disease. Hyponatremic disorders may be caused by appropriately elevated (volume depletion) or inappropriately elevated (SIADH) arginine vasopressin levels, appropriately suppressed arginine vasopressin levels (kidney dysfunction), or alterations in plasma osmolality (drugs or body cavity irrigation with hypotonic solutions). Hypernatremia is most commonly due to unreplaced hypotonic water depletion (impaired mental status and/or access to free water), but it may also be caused by transient water shift into cells (from convulsive seizures) and iatrogenic sodium loading (from salt intake or administration of hypertonic solutions). Conclusion In hospitalized patients, hyponatremia and hypernatremia are often iatrogenic and may contribute to serious morbidity and increased risk of death. These disorders require timely recognition and can often be reversed with appropriate intervention and treatment of underlying predisposing factors.

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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 Prospective Randomized Study Comparing Monopolar and Bipolar Transurethral Resection of Prostate Using Transurethral Resection in Saline (TURIS) System

Cited by 161 publications

References 22 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

Les troubles de l’équilibre hydrosodé chez les patients hospitalisés

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

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