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Organo Oficial de la Sociedad Mexicana de Urología

2010, Number 3

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Rev Mex Urol 2010; 70 (3)

Bipolar versus monopolar transurethral resection of the prostate: intraoperative and postoperative result analysis

Acuña-López JA, Hernández-Torres AU, Gómez-Guerra LS, Martínez-Montelongo R, Lozano-Salinas JF

Language: Spanish
References: 14
Page: 146-151
PDF size: 750.83 Kb.


ABSTRACT

Objective: To analyze the possible advantages of bipolar and conventional monopolar transurethral resection of the prostate during surgical intervention for prostatic hyperplasia in both the intraoperative and immediate postoperative periods.
Methods: A cross-sectional analytical study was carried out on 15 patients operated on with Gyrus ACMI bipolar resector and 15 with monopolar resector.
Results: Mean age was 67.4 years in the monopolar group and 68.1 years in the bipolar group. Bleeding during the cutting was classified as moderate-abundant in 86% of patients in the monopolar group vs 46% in the bipolar group (P ‹ 0.05). Clotting capacity was very good-excellent in 100% of the monopolar group vs 7% in the bipolar group (P ‹ 0.05). The degree of fragment adherence to resecting blade was moderate-abundant in 100% of the monopolar group vs 20% of the bipolar group (P ‹ 0.05). There was no statistical significance in the remaining variables compared.
Conclusions: In the authors’ experience, bipolar transurethral resection of the prostate presents with less fragment adherence and bleeding during cutting thus improving intraoperative visibility for the surgeon. Both procedures present with similar postoperative results.


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