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KMID : 0358320060470040377
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Korean Journal of Urology
2006 Volume.47 No. 4 p.377 ~ p.380
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Efficacy of Bipolar Transurethral Resection of the Prostate: Comparison with Standard Monopolar Transurethral Resection of the Prostate
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Kim Hyeong-Gon
Lee Byung-Ki
Paick Sung-Hyun
Lho Yong-Soo
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Abstract
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Purpose: We wanted to assess the efficacy of bipolar transurethral resection of the prostate(TURP) compared with standard monopolar TURP.
Materials and Methods: All 25 patients with symptomatic benign prostatic hyperplasia(BPH) who underwent TURP from July 2004 to June 2005 were retrospectively reviewed. Thirteen consecutive patients underwent standard monopolar TURP and 12 underwent bipolar TURP using the Gyrus PlasmaKinetic system.
Results: The mean weight of resection was 29.7g for the bipolar TURP and 22.5g for the monopolar TURP. The operative time was shorter(82.5 vs 98.1 minutes, respectively), the estimated blood loss was less(252 vs 268cc, respectively) and the mean post-operative hospital stay was shorter (5.3 vs 5.7 days, respectively) in the bipolar TURP group. However, these differences were not statistically significant. The acute complications were significant hyponatremia in one patient and clot retention in one patient after monopolar TURP, but no complications occurred after bipolar TURP. The maximal flow rate increased from 6.4 to 14.7ml/sec in the bipolar TURP group, and it increased from 6.7 to 15.2ml/sec in the monopolar TURP group.
Conclusions: Compared to monopolar TURP, bipolar TURP can be easily and safely used for treating symptomatic BPH with less morbidity. (Korean J Urol 2006;47:377-380)
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KEYWORD
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Bipolar disorder, Transurethral resection of prostate
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