Sarcouncil Journal of Medicine and Surgery

Abstract: Background: Despite the development of new minimally invasive methods, transurethral resection of the prostate (TURP) has been considered the cornerstone of surgical management for prostatic enlargement. The most significant technical modification of TURP is the incorporation of bipolar technology permitting resection using saline as the irrigation fluid. Objective: To evaluate our initial experience with bipolar transurethral resection of the prostate in cases of BPH. Patients & Methods: In the period from July 2011 to October 2012, a total of 16 male patients with a mean age of 65 years (ranges from 50 years to 80 years old) having enlarged prostate were candidates for intervention and had been treated by bipolar transurethral resection of the prostate. Evaluation was made taking in consideration the following parameters: Preoperative and postoperative Hb & S. Na, preoperative and postoperative maximum flow rate tested by uroflowmetry, prostatic size measured preoperatively by abdominal ultrasound, resection time and resection weights, duration of catheterization and hospitalization. Results: Statistical comparison was made between preoperative and postoperative hemoglobin, serum sodium, and maximum flow rate. The mean preoperative and postoperative hemoglobin levels were 12.58±1.6 g/dL and 12±1.7g/ dL, respectively, with no significant changes (P-value= 0.348). The mean preoperative and postoperative serum sodium concentrations were 137.25±4.5 mEq/L and 135.84±4.4 mEq/L, respectively, showing no significant changes (P-value= 0.382). No case of TUR syndrome happened in our cases. Uroflowmetry tests were done to all patients that can urinate preoperatively (10 patients) with their mean value of Q max was 10 ml/ sec, and postoperatively for the same ten patients of 17 ml/ sec, with a significant P value of 0.001. Catheter removal and discharge from the hospital were on the 2nd postoperative day. Conclusion: Bipolar TURP using saline as an irrigant fluid is an effective and safe technology in treating patients with BPH. Bipolar TURP has an advantage of reducing the decline in postoperative serum Na+ level and the risk of TUR syndrome. AIM OF THE STUDY: This study aims to evaluate our initial experience with bipolar transurethral resection of the prostate in cases of BPH.