Bipolar Versus Monopolar Resection of Benign Prostate Hyperplasia
Bipolar Versus Monopolar Resection of Benign Prostate Hyperplasia
Aim of this prospective clinical study was to compare two different surgical techniques and
 used solutions on serum electrolytes, bleeding and Transurethral Resection of Prostate (TURP)
 syndrome undergoing TURP.

 Fifty-three patients scheduled for elective TURP were enrolled in this prospective clinical
 study. Patients were included one of two groups (Group Monopolar and Group Bipolar).
Background and Purpose:

 Aim of this prospective clinical study was to compare two different surgical techniques and
 used solutions on serum electrolytes, bleeding and Transurethral Resection of Prostate (TURP)
 syndrome undergoing TURP.

 Methods:

 Fifty-three patients scheduled for elective TURP were enrolled in this prospective clinical
 study. Patients were divided into two groups. Patients in Group M (Monopolar) (n=25) were
 used monopolar resectoscope (Karl Storz, Tottling, Germany) and 5% mannitol as irrigating
 solution. Patients in Group B (Bipolar) (n=25) were used bipolar resectoscope TURis (OLYMPUS,
 Tokyo, Japan) and isotonic saline as irrigating solution. Patients who received spinal
 anaesthesia were given 2.5-3 ml 0.5% hyperbaric bupivacain intrathecally and others were
 given general anaesthesia. Patients demographics, prostate volumes, hemodynamic parameters,
 volumes of irrigation and IV solutions were recorded. Blood samples were collected
 preoperatively (control), 45 minutes after the induction (2nd Measurement) and 1 hour after
 the end of the operation for analyzing serum electrolytes, osmolarity, hemoglobin values.
Inclusion Criteria:

 -  Men were older than 50 years

 -  Men suffered from symptomatic benign prostatic hyperplasia.

 Exclusion Criteria:

 -  History of severe heart failure

 -  History of respiratory failure

 -  History of bleeding diathesis