ArticleIndian journal of urology : IJU : journal of the Urological Society of India
Urethral stricture after bipolar transurethral resection of prostate - truth vs hype: A randomized controlled trial.
Article in Indian journal of urology : IJU : journal of the Urological Society of India. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 8 citations in OpenAlex.
- Bipolar vaporization of the prostate may cause higher complication rates compared to bipolar loop resection: a randomized prospective trial.International urology and nephrology · 2019Trial
- Can the use of a visual obturator-assisted resectoscope reduce the incidence of urethral strictures after TURP?: a multicenter propensity-matched study.World journal of urology · 2026Article
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- What's inside.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionBipolar transurethral resection of prostate (B-TURP) was introduced as an alternative procedure to minimize the surgical complications of monopolar TURP (M-TURP). However, there are concerns about increased incidence of stricture urethra (SU) post B-TURP. This study was designed to analyze the incidence of SU among patients undergoing M-TURP versus B-TURP. MATERIALS AND
methodsThis is a randomized controlled, single-blinded study; randomization was performed using a stratified permuted randomization algorithm (1:1 ratio) and only the patients were blinded. Both M-TURP and B-TURP were performed with a 26 Fr resectoscope; the electrosurgical generators were Karl Storz Autocon II 400 and Olympus UES-40 SurgMaster (TUR in saline [TURIS] method), respectively. Follow-up visits were scheduled at 3, 6, and 12 months post surgery and patients with lower urinary tract symptoms and a maximum urinary flow rate of <10 ml/sec on uroflowmetry underwent retrograde urethrography to assess for development of SU.
resultsForty patients were randomised to each arm. None developed SU in the monopolar group, whereas there were three cases in the bipolar group (
conclusionThe incidence of SU following B-TURP using the TURIS system was comparable to the conventional M-TURP. Moreover, the incidence of SU was same for both the techniques when sub-grouped according to the indication for surgery that is failed medical management versus refractory urinary retention.
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