الفهرس 
Chapter 1 Applied surgical anatomy of the prostate glandOnly 14 pages are availabe for public view
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Abstract
Background: Transurethral resection of prostate (TURP) is currently the gold standard for surgical treatment of benign prostatic hyperplasia (BPH), as this procedure results in the best improvement in symptoms and urine flow rate (1).
Aim of the Work: to compare between the two techniques used for transurethral resection of the prostate; Monopolar versus Bipolar resection as regards short term surgical outcomes, perioperative complications and early changes in quality of life.. Patients and Methods: Randomized controlled study with simple randomization (1:1) of 80 patients with BPH candidate for transurethral resection of the prostate, 40 patients underwent M-TURP, and other 40 patients underwent B-TURP, their age mean age of patients included in our study 57-61 years old, mean prostate size 68-71 gm. Results:Comparing intra-operative data in monopolar and bipolar TURP groups, our study reported that there was statistically significant decrease in volume of irrigation and operative time in B-TURP group in comparison to M-TURP group. Although intra-operative complications; bleeding, electrolytes disturbance, fever and LUTS were lower in B-TURP group; however, did not reach statistically significant.
In M-TURP group, there was statistically significance increase in change Hb, and time of post-operative irrigation, IPSS in compared to B-TURP group. While in respect to PVR, time of catheterization and hospital stay, there was no statistically significant difference data among the two studied groups.
Conclusion: Bipolar TURP represents a promising endoscopic treatment for patients with BPH with decrease in volume of irrigation and reduced operative time, and less incidence of TUR syndrome, intraoperative bleeding, and postoperative complications. However, further investigations are needed with larger, preferably randomized multicentric controlled trials to confirm the results of this study in the future.