MAINTENANCE OF HOMEOSTASIS – AN OBSERVATIONAL STUDY COMPARING BIPOLAR AND MONOPOLAR TURP

Abstract

Background: Benign prostatic enlargement is a condition affecting old age population. Open and endoscopic procedures are available for its surgical treatment. Resection of prostate via trans urethral route (TURP) is the gold standard surgical procedure for prostatic enlargement. It is usually performed in two ways either using bipolar energy source or using monopolar energy sources. Many studies in the past have been done to compare resection of prostate using above mentioned energy sources. Most of them have preferred bipolar TURP over monopolar TURP in terms of development of complications.

Methods: In this study, we have observed maintenance of post operative homeostasis in terms of blood loss and changes in electrolytes in bipolar and monopolar TURP. Patients were divided into two groups. P value <0.05 was taken as significant.

Results: First group underwent M-TURP and second group was operated by B-TURP. There was no statistical difference between both groups in terms of blood loss. Also, change in blood sodium and potassium concentration was comparatively insignificant between two groups.

Conclusions: This observational study have yielded that there is no difference between bipolar and monopolar TURP in maintaining post operative homeostasis.

Keywords: TURP, Monopolar, Bipolar, Prostate, Glycine, Saline