Safety and Efficacy of Bipolar TURP in Large Volume Prostate.
- Author:
Hwa Su LIM
1
;
Hong Seok SHIN
;
Hee Chang JUNG
Author Information
1. Department of Urology College of Medicine, Yeungnam University, Daegu, Korea. junghc@ynu.ac.kr
- Publication Type:Original Article
- Keywords:
Bipolar TURP;
Large volume prostate
- MeSH:
Catheters;
Complement System Proteins;
Hematuria;
Hospitalization;
Humans;
Hyperplasia;
Hypothermia;
Male;
Prostate*;
Prostatectomy;
Transurethral Resection of Prostate*;
United Nations
- From:Journal of the Korean Continence Society
2007;11(2):125-130
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: With the development of bipolar device, which complement the weak points of conventional monopolar device, TURP became more appliable in large volume prostate. We evaluated the possibility and effectivity of bipolar TURP in large volume prostate by analysing treatment results. MATERIALS AND METHODS: Total 78 male patients who received bipolar TURP in our center between April 2004 and December 2006, were divided into two groups based on prostate volume (>75g = large volume prostate group, <75g = control group). We compared each of age, prostate volume, resection volume, operation time, IPSS, Qmax, change of serum Na+ & hemoglobin, and perioperative complications. RESULTS: There was no statistical difference between preoperative IPSS and postoperative IPSS between the both groups. In preoperative status, Qmax was statistically higher in small volumed prostate group. But, after bipolar TURP, Qmax of each group were significantly improved, and statistical difference between the two groups were disappeared. Patient age, prostate volume, resection weight, hemoglobin down, hospitalization day, catheterized duration were statistically higher in the large volume prostate group. But, in the clinical aspect, these differences were acceptable. Immediate postoperative hematuria and hypothermia were more frequent in large volume prostate group. Long term complication rates were almost the same in two groups, and there was no TUR syndrome in both groups. CONCLUSION: Transurethral resection of large volume prostate (>75g) using bipolar device is as effective as of general (<75g) prostate hyperplasia. Bipolar TURP can be another therapeutic option of large volume prostate, which in the past indicated open prostatectomy, to escape from higher surgical morbidity.
