Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Benign prostatic hyperplasia (BPH) significantly impacts older men’s quality of life by causing lower urinary tract symptoms (LUTS). Transurethral resection of the prostate (TURP) remains the preferred surgical treatment. Monopolar TURP (M‐TURP) has long‐term efficacy but risks complications, while bipolar TURP (B‐TURP) offers enhanced safety, reducing hyponatremia and bleeding through saline‐based irrigation. To analyze the efficacy and safety of bipolar and monopolar TURP. This prospective study (Nov 2022‐May 2024) compared outcomes and complications of bipolar and monopolar TURP in 50 benign prostatic hyperplasia (BPH) patients at PMCH. Using stratified sampling, 25 patients received each procedure. Inclusion focused on patients with urinary retention, ineffective treatments, or hematuria. Data collection adhered to ethical standards, analysed via SPSS 27 and Excel, with ANOVA assessing significance (P<.05). In this study, bipolar and monopolar TURP showed similar outcomes for most clinical parameters, with no significant differences in age (p=0.291), postvoid residual urine (p=0.820), prostate volume (p=0.578), or urine flow rate (p=0.731). However, hospital stay duration (p=0.000) and serum sodium levels (p=0.034) were significantly higher in one group, indicating some variances in postoperative recovery. The study has concluded that both bipolar and monopolar TURP are effective in managing benign prostatic hyperplasia (BPH) by reducing urinary symptoms and enhancing quality of life.
How to cite this article:
Kshitiz Ranka and Sabreena Kumar. Study on the Efficacy and Safety Profile of Bipolar and Monopolar TURP.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.2.1.7
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.2.1.7