الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
This study was performed to compare the safety and efficacy of
bipolar TURP with bipolar plasma enucleation of the prostate in the
treatment of BPH.
All Patients were preoperatively evaluated in detail by medical
history, physical examination including DRE, laboratory investigations
including preoperative serum sodium level, and imaging evaluation
including abdomino-pelvic and transrectal ultrasound. IPSS was
determined in all cases. Patients were further assessed by uroflowmetry
(Qmax). Assessment of IPSS, Qmax, and PVR urine volume were omitted
in men presented by urinary retention.
In both groups; resection time and resected volume were analyzed.
Blood loss and DROP in Hemoglobin and sodium values were determined.
Postoperative catheter time and hospital stay were recorded. Intraoperative
and postoperative complications and the need for blood transfusion were
noted. The improvements of IPSS, Qmax, and PVR urine after three
months were also recorded for all patients.
We found that, the differences were statistically significant
regarding to calculated blood loss during operation with less blood loss
during BPEP . Also we noticed that operative time was less in B-TURP
than in BPEP , but with no significant statistical difference.
Regarding to resected tissue volume , it was more with BPEP
technique but also without significant statistical difference .
Postoperative Hb , Hct and Na+ DROP were less in BPEP but also
with no significant statistical difference .
The mean postoperative bladder irrigation time, postoperative
catheter time and postoperative hospital stay were similar in both groups
with no significant statistical difference.
In both groups , there was no need for blood transfusion neither
intraoperatively nor postoperatively . Also TUR syndrome did not occur in
any patient in our study.
As regard the postoperative complications , urine retension and
need for reoperation occurred only in one case in the B–TURP group (5%)
but it did not occur in any patient of the BPEP group . But regarding to 2ry
Hematuria after catheter removal , the same percent presented in both
groups ( 10% ) and these cases patients were treatd successfully by medical
treatment with no need for reoperation or blood transfusion . The same
percent was present in both groups as regard postoperative urinary
incontinence ( only 10%) . The incontinence was in the form of OAB and
treated successfully by medical treatment ( antimuscarenics ) .
All patients in both groups showed marked improvement in
IPSS, Qmax, and PVR after 3 months postoperative with suspected more
improvement in both groups with time .