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Subject Area

Pediatrics

Article Type

Original Study

Abstract

Objective The aim of this study was to measure the hemostatic efficacy of bipolar versus monopolar transurethral resection of the prostate (TURP). Background TURP is the most effective surgical modality for treatment of a symptomatic benign prostatic hyperplasia. Bipolar TURP is a new technique developed in the last decade, with a difference in electrical energy delivered in comparison to the monopolar technique. Patients and methods The study was conducted after local approval was obtained from the ethics committee of our hospital. A prospective case–control study, including 60 patients with prostatic enlargement was successfully consented. Of these, 20 patients were treated by bipolar TURP, 20 patients by monopolar TURP, and 20 patients by open transvesical prostatectomy, done at the Urology Department, Menoufia University Hospitals, Shibin El-Kom, Menoufia, during the period between April 2015 and April 2016. Histopathologic evaluation was done to measure the microvascular diameter of open prostatectomy specimens, in which 10 random sites of each case were randomly photographed at ×100 magnification, depth of coagulation in monopolar, and bipolar TURP specimens were randomly photographed at regular intervals at ×100 magnification and stained with routine hematoxylin and Eosin (H & E) stains. Result Out of the 60 patients recruited into the study, the mean depth of coagulation in bipolar TURP (257.39 μm) which was more than the mean depth of coagulation in monopolar TURP (241.87 μm) patients (measured by using Digimizer image analysis software). Conclusion We found that the bipolar TURP provides more depth of coagulation resulting in better sealing of the prostatic vessel diameter and a better hemostatic effect.

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