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67710

TRANSURETHRAL MONOPOLAR VERSUS BIPOLAR ENUCLEATION OF THE PROSTATE: A PROSPECTIVE RANDOMIZED STUDY

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Urology & Andrology

Abstract

Background: Transurethral enucleation and resection of the prostate (TUERP) is a recently developed procedure. In which the prostate is transurethrally enucleated and resected using a bipolar and monopolar resectoscope. Aim of the work: The aim of this study is to compare efficacy and safety of monopolar (M-TUERP) versus bipolar (B-TUERP) in medium volume prostate. Patients & Methods: The study was conducted in the Department of Urology, Zagazig University Hospitals, between the period of March 2018 and February 2019 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 TUEP group. There was a significant increase in the catheter time and hospital stay among patients in monopolar TUEP group compared to bipolar TUEP 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, monopolar enucleation of prostate adenoma is feasible and effective, but associated with high complications, Moreover B-TUEP associated with lower complications and hospital stay, catheter time and less Hg and Na loss than M-TUEP, Moreover resected prostatic tissue was significant higher in M-TUEP than B-TUEP.

DOI

10.21608/zumj.2020.17715.1566

Keywords

Enucleation of The Prostate, Benign Prostatic Hyperplasia, medium volume prostate

Authors

First Name

Asem

Last Name

Khalifa Suleiman

MiddleName

Kamal

Affiliation

Department of Urology, Faculty of Medicine - Al-Zawayah University - Libya

Email

asemkhalifak@gmail.com

City

-

Orcid

-

First Name

Ashraf

Last Name

Samy Shahin

MiddleName

Mohamed

Affiliation

Department of Urology, Faculty of Medicine – Zagazig University, Egypt

Email

ashrf1959@gmail.com

City

-

Orcid

-

First Name

Aref

Last Name

Maarouf

MiddleName

Mohamed

Affiliation

Department of Urology, Faculty of Medicine – Zagazig University, Egypt

Email

arifmarof@yahoo.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Seleem

MiddleName

Mahmoud

Affiliation

Department of Urology, Faculty of Medicine – Zagazig University, Egypt

Email

drseleem2007@yahoo.com

City

-

Orcid

-

Volume

28

Article Issue

2

Related Issue

31775

Issue Date

2022-03-01

Receive Date

2019-10-10

Publish Date

2022-03-01

Page Start

260

Page End

267

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_67710.html

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https://zumj.journals.ekb.eg/service?article_code=67710

Order

11

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

-

Details

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Article

Created At

22 Jan 2023