Muhammad Imran Soomro, Aamir Ali Shaikh, Muhammad Iqbal Soomro, Azizullah Mirani, Nisar Ahmed Shaikh, Malik Hussain Jalbani.
Mean time of catheter removal in bipolar versus monopolar diathermy in transurethral resection of prostate for benign prostatic hyperplasia.
Rawal Med J Jan ;46(1):83-6.

Objective: To compare the mean time of catheter removal in Bipolar versus monopolar Diathermy in Transurethral Resection of Prostate (TURP) for benign prostatic hyperplasia (BPH) at our institution. Methodology: This randomized control trial was conducted at department of urology CMC/SMBBMU Larkana, from 14th March 2017 to 13th September 2017. A total of 80 patients with failure of medical therapy for BPH, confirmed by persistent or progressions of bothersome voiding symptoms, in presence of ? blockers were included in the study. They were randomly allocated into two groups with 40 each group. Group A was treated with Bipolar Diathermy and 40 in Group B with Monopolar Diathermy. In Patients post TURP catheter was removed, when there was no blood in urine begs on naked eye and time was recorded. Results: Mean age of the patients was 71.84+-7.60 years. In bipolar, TURP mean time of catheter removal was 19.33+-4.64 hours and in monopolar TURP, mean time of catheter removal was 35.90+-6.86 hours. Mean time of catheter removal was significantly low in group A than group B. Conclusion: The bipolar transurethral prostatectomy TURP is as effective as conventional monopolar TURP with the additional advantage of decreased duration of catheter use and hospital stay.

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