Short-stay transurethral prostate surgery: A randomized controlled trial comparing transurethral resection in saline bipolar transurethral vaporization of the prostate with monopolar transurethral resection

• Published in: Asian journal of endoscopic surgery 2015-08, Vol.8 (3), p.316-322
• Main Authors: Yee, Chi-hang, Wong, Joseph Hon-ming, Chiu, Peter Ka-fung, Chan, Chi-kwok, Lee, Wai-man, Tsu, James Hok-leung, Teoh, Jeremy Yuen-chun, Ng, Chi-fai
• Format: Article
• Language: English
• Subjects: Aged; Benign Prostatic Hyerplasia (BPH); Double-Blind Method; Follow-Up Studies; Humans; Length of Stay; Logistic Models; lower urinary tract symptoms; Male; Middle Aged; Operative Time; Prospective Studies; Prostatic Hyperplasia - surgery; Sodium Chloride; Transurethral Resection of Prostate - methods; Treatment Outcome; TURP; Volatilization
• ISSN: 1758-5902; 1758-5910
• DOI: 10.1111/ases.12197

Objectives The aim of the present study was to establish the safety and efficacy profile of transurethral resection in saline (TURis) bipolar vaporization of the prostate relative to monopolar transurethral resection of prostate (TURP) and to test the hospital stay efficiency after TURis vaporization. Materials and Methods in this multicenter, double‐blinded, prospective, randomized controlled trial, men aged 50–75 years old were randomized into two arms: TURis bipolar vaporization and monopolar TURP. Intraoperative details, perioperative parameters, and postoperative functional outcomes were assessed after intervention. Follow‐up with symptom score assessment, prostate volume measurement, and uroflowmetry were performed at 3 and 6 months. Results Eighty‐four patients (mean age, 65.0 ± 5.6 years) were randomized into each study arm. TURis bipolar vaporization had a longer operative time than monopolar TURP (51.6 ± 24.5 vs 38.5 ± 20.3 min, P