Monopolar versus Bipolar Transurethral Resection of Non-Muscle Invasive Bladder Cancer | ||||
| International Journal of Medical Arts | ||||
| Article 15, Volume 4, Issue 1, January 2022, Page 2049-2057 PDF (1.3 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2022.105135.1389 | ||||
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| Authors | ||||
Rabee Abdallah Yassein  ; Ayman Mohtady Edrees; Mohamed Abdelhameed Khalil
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| Department of Urology, Faculty of Medicine [for girls], Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Recently, the bipolar current has been used as an alternative technique to conventional monopolar current which was used traditionally in trans-urethral resection of bladder tumor [TURBT]. The aim of the work: To evaluate the safety and efficacy of monopolar versus bipolar TURBT in the management of primary non-muscle-invasive bladder cancer [NMIBC]. Patients and Methods: This prospective study was conducted on 80 patients [70 males and 10 females] aged 36 years or older, presented with primary bladder mass from March 2016 to March 2020 at the Urology Department of Al-Zahraa University Hospital. Patients were classified randomly into two groups: group [A] included 40 patients who had M-polar TURBT, and group [B] included 40 patients who had B-polar TURBT. The main studied outcomes were the frequency of intraoperative and postoperative complications, as well as the rate of recurrence after 12 months of follow-up. Results: There was no statistical difference between the two groups regarding demographic data of patients and characters of the tumor. Intra-operatively, there was a significant difference between both groups regarding obturator reflex, which was higher in M-polar TURBT group than B-polar TURBT group [25% vs. 5%; P= 0.013] respectively. Operative time was shorter in the B-polar TURBT group than M-polar TURBT, but with no statistically significant difference. There was a mild drop in hemoglobin & hematocrit value in M-polar TURBT than the B-polar TURBT, but with no statistically significant difference. There was no significant difference in the recurrence rate of both groups after one year of follow-up. Conclusion: Our study revealed that B-polar TURBT is more safe and effective in the management of primary bladder tumors. | ||||
| Keywords | ||||
| Monopolar; Bipolar transurethral resection; Non-muscle invasive bladder cancer | ||||
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