Monopolar Transurethral Resection of the Prostate versus Bipolar Resection for Mild to Moderate Benign Prostatic Enlargement: A Randomized Controlled Study
youssef, H., El karamany, T., El Mohammady, B., El-Dakhakhni, A., Abdelfattah, A. (2025). Monopolar Transurethral Resection of the Prostate versus Bipolar Resection for Mild to Moderate Benign Prostatic Enlargement: A Randomized Controlled Study. EKB Journal Management System, (), -. doi: 10.21608/bmfj.2025.387996.2432
Hassan Mohamed youssef; Tarek Mohamed El karamany; Basheer Nagy El Mohammady; Amr Salah El-Dakhakhni; Ahmed Abouelezz Abdelfattah. "Monopolar Transurethral Resection of the Prostate versus Bipolar Resection for Mild to Moderate Benign Prostatic Enlargement: A Randomized Controlled Study". EKB Journal Management System, , , 2025, -. doi: 10.21608/bmfj.2025.387996.2432
youssef, H., El karamany, T., El Mohammady, B., El-Dakhakhni, A., Abdelfattah, A. (2025). 'Monopolar Transurethral Resection of the Prostate versus Bipolar Resection for Mild to Moderate Benign Prostatic Enlargement: A Randomized Controlled Study', EKB Journal Management System, (), pp. -. doi: 10.21608/bmfj.2025.387996.2432
youssef, H., El karamany, T., El Mohammady, B., El-Dakhakhni, A., Abdelfattah, A. Monopolar Transurethral Resection of the Prostate versus Bipolar Resection for Mild to Moderate Benign Prostatic Enlargement: A Randomized Controlled Study. EKB Journal Management System, 2025; (): -. doi: 10.21608/bmfj.2025.387996.2432

Monopolar Transurethral Resection of the Prostate versus Bipolar Resection for Mild to Moderate Benign Prostatic Enlargement: A Randomized Controlled Study

Benha Medical Journal
Articles in Press, Accepted Manuscript, Available Online from 16 September 2025    PDF (750.49 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2025.387996.2432
Authors
Hassan Mohamed youssef* 1; Tarek Mohamed El karamany2; Basheer Nagy El Mohammady3; Amr Salah El-Dakhakhni4; Ahmed Abouelezz Abdelfattah5
1(M.B.B.CH)
2Professor of urology Faculty of Medicine, Benha University
3Assistant professor of urology Faculty of Medicine, Benha University
4Assistant professor of urology Faculty of Medicine - Benha University Professor of Urology Faculty of Medicine , Benha University
5Lecturer of urology Faculty of Medicine - Benha University
Abstract
Objective: To compare the safety and efficacy of monopolar transurethral resection of the prostate (M-TURP) versus bipolar transurethral resection of the prostate (B-TURP) in patients with benign prostatic hyperplasia (BPH) and prostate volumes between 30 and 80 ml scheduled for endoscopic resection. Methods: In this prospective, randomized, parallel-group study, 120 patients with prostate volumes >30 ml and ≤80 ml were enrolled. Participants were randomly assigned into two equal groups: Group A (control) underwent M-TURP, while Group B (study) received B-TURP. All patients underwent clinical evaluation, including preoperative transrectal ultrasound for prostate volume measurement, with intraoperative documentation of resection time, total operative duration, and weight of resected tissue. Results: Quality of life (QoL) scores at 1 and 6 months postoperatively were significantly improved in Group B compared with Group A (P = 0.006 and 0.003, respectively). Maximum urinary flow rate (Qmax) at 1 and 6 months was significantly higher in Group B (P = 0.002 and <0.001). International Prostate Symptom Score (IPSS) and post-void residual urine (PVRU) at 1 and 6 months were significantly lower in Group B (P < 0.05). Postoperative hemoglobin decline was also significantly less in Group B compared with Group A (P < 0.001). Conclusions: B-TURP provided superior safety and faster recovery compared with M-TURP for prostates 30–80 mL, while maintaining equivalent efficacy.
Keywords
prostate volume; Benign Prostatic hyperplasia; TURP
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