A PROSPECTIVE, COMPARATIVE ANALYSIS OF POST-OPERATIVE HEMOGLOBIN LEVELS: MONOPOLAR VS. BIPOLAR TRANSURETHRAL RESECTION OF PROSTATE FOR MANAGEMENT OF BENIGN PROSTATIC HYPERPLASIA
Main Article Content
Keywords
Benign prostatic hyperplasia, Monopolar transurethral, Bipolar transurethral
Abstract
Background: Monopolar transurethral resection of the prostate (M-TURP) has long been considered the gold standard in benign prostate hyperplasia management, however, recently, bipolar transurethral resection of the prostate (B-TURP) has emerged as a new modality, offering potential advantages including the use of isotonic saline as an irrigant. This study aims to compare the post-operative mean hemoglobin levels in patients undergoing M-TURP versus B-TURP in the surgical management of BPH.
Methods: A prospective comparative study was conducted at the Department of Urology in a tertiary hospital over a period from September 2, 2022, to March 2, 2023. Patients were consecutively allocated to either Group M (undergoing M-TURP) or Group B (undergoing B-TURP). Blood specimens were collected 24 hours after surgery to estimate hemoglobin levels post-operatively
Results: The study comprised 136 patients, with Group A (M-TURP) exhibiting a mean age of 62.32±1.79 years and Group B (B-TURP) a mean age of 62.98±1.90 years. Prostate size did not significantly differ between the two groups (p=0.421). However, pre-operative hemoglobin levels were significantly higher in Group B (12.26±0.13 g/dl) compared to Group A (12.29±0.13 g/dl) (p=0.000). Post-operatively, Group B maintained higher mean hemoglobin levels (11.82±0.06 g/dl) compared to Group A (11.19±0.09 g/dl) (p=0.000)
Conclusion: These findings suggest a potential advantage of B-TURP over M-TURP in preserving post-operative hemoglobin levels, highlighting its potential as a preferred surgical modality for BPH management.
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Muhammad Talha Aizaz
Resident, Department of Urology, Sir Gangaram, Hospital, Lahore, Pakistan
Shahjehan
Associate Professor, Department of Urology, Mayo Hospital, Lahore, Pakistan
Hassan Raza Asghar
Assistant Professor, Department of Urology, Avicenna Hospital, Lahore, Pakistan
Ghulam Ghous
Assistant Professor, Department of Urology, Avicenna Hospital, Lahore, Pakistan
Asma Rizwan
Senior Registrar, Department of Urology, Mayo Hospital, Lahore, Pakistan
Umar Hanif
Assistant Professor, Department of Urology, Mayo Hospital, Lahore, Pakistan