Monopolar vs. bipolar TURP | 合法醫療器材資訊網

由PAHueber著作·2011·被引用10次—Todate,severalrandomizedtrialscomparingbipolarandmonopolarTURPhavebeenconducted.Athoughafewtrialshavesuggestedthatbipolarresectionis ...

For over 8 decades, transurethral resection of the prostate (TURP) has been considered the cornerstone of surgical management for benign prostatic obstruction (BPO), due to the procedure’s outstanding, well-documented, long-term treatment efficacy.1 Nevertheless, the morbidity of the procedure, notably TURP-syndrome, bleeding and urethral stricture, remains significant at 11.1%, based on a prospective, multicentre study of 10 654 men.2

In recent years, other techniques, including the use of bipolar TURP (B-TURP) have challenged conventional monopolar TURP (M-TURP). With the use of a bipolar generator, both the active and return electrodes are contained within the instrument. The principal advantage is the possible use of isotonic irrigating fluid, such as normal saline or lactate ringer, which eliminates the risk of electrolytic disturbance from systemic uptake, such as TUR syndrome. N...