Abstract

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 α 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.

Key words: Transurethral resection of prostate, benign prostatic hyperplasia, catheter removal.