Transurethral MonopolarVersus Bipolar Resection Of The Prostate: A Prospective Randomized Study

Background: Transurethral Resection of the prostate (TURP) is a recently developed procedure. In which the prostate is transurethrally enucleated and resected using a bipolar and monopolarresectoscope.The aim of this study is to compare efficacy and safety of monopolar (M-TURP) versus bipolar (B-TURP) in medium volume prostate.Methods: The study was conducted in the Department of Urology, Zagazig University Hospitals, between the period of March 2018 and February2019 on 24 patients divided in to 2 groups (12 patients in monopolar group and 12 patients in bipolar group). Results: During the operative period, resected tissue was significantly higher in monopolar TUEP group compared to bipolar TURP group. There was a significant increase in the catheter time and hospital stay among patients in monopolar TURP group compared to bipolar TURP group. Regarding post-operative follow up of patients, there was no significant difference in the mean values of IPSS, Qmax and PVR and IIEF between both groups. Conclusions: Our study concluded that, monopolarResection of prostate adenoma is feasible and effective, but associated with high complications, Moreover B-TURP associated with lower complications and hospital stay, catheter time and less Hg and Na loss than M-TURP, Moreover resected prostatic tissue was significant higher in M-TURP than B-TURP.