Abstract
Background: Transurethral enucleation and resection of the prostate (TUERP) is a recently developed procedure. In which the prostate is transurethrally enucleated and resected using a bipolar and monopolar resectoscope. Aim of the work: The aim of this study is to compare efficacy and safety of monopolar (M-TUERP) versus bipolar (B-TUERP) in medium volume prostate. Patients & Methods: The study was conducted in the Department of Urology, Zagazig University Hospitals, between the period of March 2018 and February 2019 on 24 patients divided in to 2 groups (12 patients in monopolar group and 12 patients in bipolar group). Results: During the operative period, resected tissue was significantly higher in monopolar TUEP group compared to bipolar TUEP group. There was a significant increase in the catheter time and hospital stay among patients in monopolar TUEP group compared to bipolar TUEP group. Regarding post-operative follow up of patients, there was no significant difference in the mean values of IPSS, Qmax and PVR and IIEF between both groups.Conclusions: Our study concluded that, monopolar enucleation of prostate adenoma is feasible and effective, but associated with high complications, Moreover B-TUEP associated with lower complications and hospital stay, catheter time and less Hg and Na loss than M-TUEP, Moreover resected prostatic tissue was significant higher in M-TUEP than B-TUEP.
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