The monopolar transurethral resection of the prostate (TUR) has long remained a “gold” standard of treatment of benign prostatic hyperplasia (BPH). However, recently there have been introduced a large number of alternative noninvasive methods of BPH treatment. Modern multicenter studies demonstrate the comparability of the intraoperative data and early postoperative characteristics of the monopolar and bipolar TUR.
The author of the рaper compare quality of life and nature of the long-term postoperative complications after the bipolar TUR in the period from 36 to 60 months after the operation in comparison with the monopolar TUR of the prostate. There were evaluated the frequency of BPH relapses and infravesical obstruction development, associated with the postoperative scar changes in the urethra and neck of the bladder, which was confirmed by the data of ascending urethrography and urine flowmetry. The patients with the irritative symptoms, associated with the bladder overactivity, were excluded from the study.
The author demonstrates that 6.7% patients after monopolar TUR underwent repeated TUR due to BPH relapse and 13.3% of patients had the infravesical obstruction, associated with the scar changes in the zone of the surgical intervention in the long-term period after the monopolar TUR. The bipolar TUR of the prostate had advantages over the monopolar TUR in the long-term results, regarding smaller quantity of risk of BPH relapse (p<0.05) and absence of the postoperative scar changes in the zone of resection. Besides, the amount of patients contented by results of the operation is reliably more after the bipolar TUR (p<0.05).