Short-term data suggest that bipolar transurethral resection of the prostate (B-TURP) is safer than the monopolar technique (M-TURP). Mid-term (36 months) safety comparisons have now been reported from a large trial. Safety was estimated by rates of urethral strictures and bladder neck contractures (BNCs). Efficacy was quantified by urodynamic changes from baseline and was similar between M-TURP and B-TURP. 10 urethral strictures were reported in each arm; 2 men receiving M-TURP and 8 receiving B-TURP experienced BNC. At one of the longest durations studied thus far, M-TURP and B-TURP are similar in terms of efficacy and safety.
ORIGINAL RESEARCH PAPER
Khalifeh, A. et al. Midterm results from an international multicentre randomized controlled trial comparing bipolar with monopolar transurethral resection of the prostate. Eur. Urol. doi:10.1016/j.eururo.2012.10.003
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Monopolar and bipolar TURP: multicentre randomized trial. Nat Rev Urol 9, 671 (2012). https://doi.org/10.1038/nrurol.2012.212
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DOI: https://doi.org/10.1038/nrurol.2012.212
