Transurethral bipolar prostatectomy: Where do we stand now?

doi:10.5410/wjcu.v4.i1.64

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World Journal of Clinical Urology

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World J Clin Urol. Mar 24, 2015; 4(1): 64-67
Published online Mar 24, 2015. doi: 10.5410/wjcu.v4.i1.64

Transurethral bipolar prostatectomy: Where do we stand now?

Hesham M Fathy, Hussein A Hussein, Hosny K Salem, Sherif S Azab, Hany M ElFayoumy

Hesham M Fathy, Hussein A Hussein, Hosny K Salem, Hany M ElFayoumy, Urology Department, Kasr Al Aini Hospital, Faculty of Medicine, Cairo University, Cairo 11562, Egypt

Sherif S Azab, Urology Departments, 6 October University, Giza 12585, Egypt

Author contributions: Fathy HM, Hussein HA and Azab SS contributed to the scientific writing; Salem HK contributed to the scientific writing and revision of the work; ElFayoumy HM contributed to the collection of studies, scientific writing and revision of work.

Conflict-of-interest: The authors declare no conflicts of interest regarding this manuscript.

Correspondence to: Hany M ElFayoumy, MD, MRCS, FEBU, Assistant Professor of Urology, Urology Department, Kasr Al Aini Hospital, Faculty of Medicine, Cairo University, 52-A Cournish El Maadi, Cairo 11431, Egypt. hany.elfayoumy@kasralainy.edu.eg

Telephone: +20-12-23239100 Fax: +20-23-3052200

Received: May 9, 2014
Peer-review started: May 9, 2014
First decision: June 27, 2014
Revised: December 2, 2014
Accepted: December 16, 2014
Article in press: December 17, 2014
Published online: March 24, 2015
Processing time: 319 Days and 22.2 Hours

Abstract

Transurethral resection of the prostate (TURP) is considered the gold standard surgical treatment of symptomatic benign prostatic hyperplasia. TURP has gained ground in urologic centers of excellence for its effective long term results with low incidence of complications. Far away from excellence, it associated with blood loss, and TUR syndrome particularly in patients with larger prostates. For this reasons, many minimally invasive new techniques have been implemented in recent years. Bipolar technique has recently been introduced, to minimize the complications of the standard TURP technique.

Keywords: Transurethral; Endoscopic; Benign prostatic hyperplasia; Bipolar; Prostatectomy

Core tip: This is a review article about the current status of clinical applications of bipolar technology for endoscopic treatment of bladder outlet obstruction caused by benign prostatic hyperplasia. Also contains valuable updated comparisons to the transurethral resection of the prostate procedure using monopolar technology.