INTRODUCTION AND OBJECTIVES: Both bipolar TURP by
resection loop or vaporization button has become the standard of care
because it causes less intraoperative bleeding, and avoids free water
absorption. Bipolar vaporization specifically has become deservedly
popular because it is technically easy and results in near-zero intraoperative bleeding. However, published data shows that bipolar
vaporization may be associated with increased late complications. We
compare results of bipolar TURP using the resection loop versus
vaporization button for BPH to determine the relative safety profile.
METHODS: Between January 2013 and March 2014, 89 patients with BPH were randomized to operation either by Olympus
(Gyrus) bipolar loop TURP or Olympus (Gyrus) bipolar button vaporization. Inclusion criteria were; BPH with qmax 18 and prostate volume >40 gm. All patients were evaluated preoperatively and at 1, 3 and 9 months postoperatively by IPSS, uroflowmetry and prostate ultrasound. Clavien complications and operative
time were recorded.
RESULTS: There were 44 bipolar TURP and 45 bipolarp¼0.52) and IPSS (19 v 20 p¼0.38) was equivalent. Vaporization was
associated with significant increase in operative time 81 15 minutes
range 40e110 p