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Original Research

How Is High Power (200w) Thulium Laser Vapoenucleation of the Prostate Impacting Functional Parameters? Short-Term Follow-Up Results


1 Department of Urology, Kafkas University, Medical School, Kars, Turkey
2 Department of Urology,Özel Sağlık Hospital, İzmir, Turkey
3 Department of Urology, Hatay Mustafa Kemal University, Medical School, Hatay, Turkey


DOI : 10.33719/yud.2023-18-3-1306328
New J Urol. 2023;18(3):240-248.

Abstract

Objectives: The aim of this study was to compare the  early clinical results of monopolar transurethral resection prostatectomy (TUR-P) with bipolar TUR-P in the surgical treatment of BPH.

Materials and Methods: Between Septem-ber 2011- May 2012 we performed monopolar  and bipolar TUR-P in two different groups na-med as M and B respectively,  each containing consecutive 40 patients. The patients with pat-hologic diagnosis of prostate cancer were exc-luded from the study. Preoperative and posto-perative (2 hours and 24 hours) data regarding  complete blood count and serum levels of Na, K, Cl values were compared to each other. Both groups were  also  compared in respect to hospi-tal stay, duration of operation and urethral cat-heterization.

Results: Postoperative values of hemog-lobin, hematocrit and serum Na, K, Cl  of two groups decreased significantly (p<0,05) when compared to preoperative period. In post ope-rative period group B hemoglobin and hema-tocrit levels were higher than group M but it was insignificant (p>0,05). Mean duration of urethral catheterization, operation and hospi-tal stay in group M were 2,4 days, 50 minutes and 3,9 days versus in group B  2,2 days, 47 mi-nutes and 3,6 days respectively. The differences in respect to all  variables were not significant (p>0,05).

Conclusion:  Bipolar TUR-P in the levels of serum electrolytes between the two methods were similar. Based on the available data, in postoperative early pe-riod of bipolar TUR-P is similar to monopolar TUR-P.

Key Words: BPH, Bipolar TUR-P, Monopolar TUR-P, The early stage


Abstract

Objectives: The aim of this study was to compare the  early clinical results of monopolar transurethral resection prostatectomy (TUR-P) with bipolar TUR-P in the surgical treatment of BPH.

Materials and Methods: Between Septem-ber 2011- May 2012 we performed monopolar  and bipolar TUR-P in two different groups na-med as M and B respectively,  each containing consecutive 40 patients. The patients with pat-hologic diagnosis of prostate cancer were exc-luded from the study. Preoperative and posto-perative (2 hours and 24 hours) data regarding  complete blood count and serum levels of Na, K, Cl values were compared to each other. Both groups were  also  compared in respect to hospi-tal stay, duration of operation and urethral cat-heterization.

Results: Postoperative values of hemog-lobin, hematocrit and serum Na, K, Cl  of two groups decreased significantly (p<0,05) when compared to preoperative period. In post ope-rative period group B hemoglobin and hema-tocrit levels were higher than group M but it was insignificant (p>0,05). Mean duration of urethral catheterization, operation and hospi-tal stay in group M were 2,4 days, 50 minutes and 3,9 days versus in group B  2,2 days, 47 mi-nutes and 3,6 days respectively. The differences in respect to all  variables were not significant (p>0,05).

Conclusion:  Bipolar TUR-P in the levels of serum electrolytes between the two methods were similar. Based on the available data, in postoperative early pe-riod of bipolar TUR-P is similar to monopolar TUR-P.

Key Words: BPH, Bipolar TUR-P, Monopolar TUR-P, The early stage

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