Comparing the Efficiency and Safety of Bipolar and Monopolar Transurethral Resection for Non-Muscle Invasive Bladder Tumors: A Systematic Review and Meta-Analysis

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Yu CuiXiongbing Zu

Abstract

To evaluate the efficacy and safety of bipolar and monopolar transurethral resection of bladder tumor (TURBT) procedures for non-muscle invasive bladder cancer (NMIBC) patients. We searched for all studies investigating bipolar TURBT and monopolar TURBT for NMIBC patients in PubMed, Web of Knowledge, and the Cochrane Central Search Library. A systematic review and meta-analysis were performed. Efficacy was assessed by catheterization time, resection time, pathology, and recurrence rate. Safety was assessed by obturator nerve reflex, bladder perforation, hemoglobin decrease, and transfusion. Our searches identified eight studies. Bipolar TURBT is associated with decreased resection time, catheterization time, and hemoglobin changes. There were no statistically significant differences between bipolar TURBT and monopolar TURBT for rates of obturator nerve reflex, bladder perforation, and transfusion. The grade of cautery artifact had no different between the two procedures or even was lower in the bipolar arm. There was no significant difference in recurrence rate when comparing the two procedures. This systematic review indicates that the bipolar technique is more efficacious and safer for NMIBC patients. More large-scale, multic...Continue Reading

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Citations

Dec 13, 2016·Current Opinion in Urology·Esmee Iml Liem, Theo M de Reijke
Feb 24, 2021·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Deniz BolatMehmet Erhan Aydin
Feb 24, 2021·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Diego Moreira CapibaribeLeonardo O Reis
Nov 28, 2019·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·Y NeuzilletP Mongiat-Artus

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Methods Mentioned

BETA
biopsy
chips

Software Mentioned

RevMan

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