Abstract
For decades, conventional monopolar transurethral resection of the prostate (TURP) has been the gold standard of care for symptomatic benign prostatic hyperplasia; however, the associated morbidity continues to be high (11.1%). 1 Reich O. Gratzke C. Bachmann A. et al. Morbidity, mortality and early outcome of transurethral resection of the prostate: a prospective multicenter evaluation of 10,654 patients. J Urol. 2008; 180: 246-249 Abstract Full Text Full Text PDF PubMed Scopus (525) Google Scholar The most important recent innovation was the introduction of bipolar TURP using saline as the irrigation fluid. Its main supposed advantages are the use of normal saline irrigation instead of hyponatremic glycine or mannitol solutions, avoiding the risk of transurethral resection syndrome; the absence of a return current, reducing the risk of burns and urethral or bladder neck stricture; and improved hemostasis during resection that should minimize the blood loss and transfusion rate. 2 de Sio M. Autorino R. Quarto G. et al. Gyrus bipolar versus standard monopolar transurethral resection of the prostate: a randomized prospective trial. Urology. 2006; 67: 69-72 Abstract Full Text Full Text PDF PubMed Scopus (108) Google Scholar , 3 Fagerström T. Nyman C.R. Hahn R.G. Bipolar transurethral resection of the prostate causes less bleeding than the monopolar technique: a single-centre randomized trial of 202 patients. BJU Int. 2009; 105: 1560-1564 Crossref PubMed Scopus (76) Google Scholar Re: Huang et al.: Bipolar Transurethral Resection of the Prostate Causes Deeper Coagulation Depth and Less Bleeding Than Monopolar Transurethral Prostatectomy (Urology 2012;80:1116-1120)UrologyVol. 81Issue 5PreviewWe read with interest the report recently published by Huang et al on bipolar (B-TURP) vs monopolar transurethral resection of the prostate (M-TURP). With due respect, we would like to comment on some issues regarding the clinical relevance and accuracy of their results and conclusions that need further attention. Full-Text PDF
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