Bipolar versus monopolar transurethral resection of the prostate: a prospective randomized trial focusing on XXXX complications.

@entity1 @entity548 @entity1494 @entity190 @entity1067 @entity751
PURPOSE: We compare monopolar vs bipolar transurethral resection of the prostate in @entity1 with @entity1067 , focusing on functional outcomes as well as rates of @entity548 complications and the @entity751 . MATERIALS AND METHODS: A total of 137 @entity1 with @entity1067 (mean age 67 years, range 47 to 91) were prospectively randomly assigned to undergo monopolar (67) or bipolar (70) transurethral resection of the prostate. @entity1 characteristics of the 2 groups were similar. Hemoglobin (as a marker of @entity190 ) was measured preoperatively and perioperatively. I-PSS, I-PSS-QoL score, maximal flow rate and post-void residual urine volume were assessed preoperatively and 3 and 12 months postoperatively. Duration of surgery, indwelling catheter use and hospitalization were also documented, as were postoperative clot retention requiring removal by catheterization or surgery, and rates of @entity1494 and/or urethral strictures. RESULTS: No significant perioperative differences were found in duration of surgery, catheterization or hospitalization, or in @entity190 or rates of blood transfusion and @entity751 . Postoperatively there were no significant differences in I-PSS or I-PSS-QoL scores, or rates of rehospitalization, clot retention, blood transfusions, reoperation or urethral strictures. However, @entity1494 stricture occurred significantly more often in the bipolar group (8.5% vs 0%, p = 0.02). The 3 and 12-month followup showed significant and equal improvement in micturition in the 2 groups. CONCLUSIONS: Bipolar and monopolar transurethral resection of the prostate are effective and safe techniques for the surgical treatment of @entity1067 . The only significant difference between them was a significantly higher rate of @entity1494 with bipolar resection of the prostate.
