COMPARISON OF PERIOPERATIVE OUTCOMES BETWEEN MONOPOLAR AND BIPOLAR TRANSURETHRAL RESECTION OF BLADDER TUMORS

Abstract

TURBT is the gold standard for the diagnosis and treatment of NMIBC. For these reasons, monopolar and bipolar resection can be achieved. The aim of the initial resection is to eliminate all apparent tumors together with the underlying muscle layer of the urinary bladder. An important advantage of bipolar electrocautery includes reduced blood loss due to better hemostasis which helps to shorten the perioperative complications and postoperative recovery period such as catheterization time and hospital stay (Mamoulakis et al, 2011). TURBT has ordinary been performed by utilizing monopolar electrocautery with a cutting loop. Hypotonic irrigation fluids such as 1.5% glycine or water are essential when operating TUR using monopolar electrocautery Excess fluid absorption, particularly during resection of larger bladder tumors, can result in TUR syndrome which is a potentially fatal complication. Bipolar energy was introduced as an energy source for TURBT using isotonic saline as an irrigation fluid (Geavlete et al, 2011).