Bipolar transurethral resection of the prostate causes less bleeding than the monopolar technique: a single-centre randomized trial of 202 patients

BJU International
Tim FagerströmRobert G Hahn

Abstract

To compare bipolar with the conventional monopolar transurethral resection of the prostate (TURP) for blood loss and speed of resection. In all, 202 consecutive patients from the hospital waiting list were randomized to undergo TURP using either a bipolar system (Surgmaster TURis, Olympus, Tokyo, Japan) or a monopolar system (24 F, Storz, Tübingen, Germany). The blood loss during and after surgery was measured using a photometer. Other variables compared included indices of resection speed and transfusion rate. There were no statistically significant differences in operative duration, resection weight, resection speed or radicality of resection. However, the median blood loss was 235 mL for the bipolar and 350 mL for monopolar TURP (P < 0.001). The decrease in blood haemoglobin concentration during the day of surgery was smaller in the bipolar group (5.5% vs 9.6%P < 0.001). Fewer patients were transfused with erythrocytes (4% vs 11%, P < 0.01), which can be explained by the much lower 75th percentile for blood loss in the bipolar group (at 472 vs 855 mL, respectively). Bipolar TURP using the TURis system was performed with the same speed as monopolar TURP but caused 34% less bleeding, the difference being greatest (81%) for the...Continue Reading

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Citations

Jun 2, 2012·Journal of Endourology·Tim FagerströmRobert G Hahn
Feb 4, 2014·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·S GhozziN Ben Rais
Nov 26, 2010·Current Opinion in Urology·R Daron Smith, Anup Patel
Sep 11, 2012·European Urology·Stephan HrubyLukas Lusuardi
Sep 29, 2011·The Journal of Urology·Lukas LusuardiGünter Janetschek
Aug 29, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Cheuk Fan ShumChang Peng Colin Teo
Apr 4, 2017·The Aging Male : the Official Journal of the International Society for the Study of the Aging Male·Xiaoqiang QianDanfeng Xu
Dec 14, 2011·Therapeutic Advances in Urology·Bernardo RoccoFrancesco Rocco
Jan 29, 2016·Applied Health Economics and Health Policy·Andrew ClevesGrace Carolan-Rees
Oct 27, 2011·Expert Review of Medical Devices·Mathias TrempDaniel Eberli
Jun 6, 2019·Paediatric Anaesthesia·Robert G Hahn, Azriel Perel
Dec 4, 2019·The Cochrane Database of Systematic Reviews·Cameron Edwin AlexanderThomas Bl Lam
Sep 26, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Alessandro Del RossoCarlo Vicentini
Jan 21, 2011·The Aging Male : the Official Journal of the International Society for the Study of the Aging Male·Evangelos LiatsikosJens-Uwe Stolzenburg

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