Monopolar Versus Bipolar Transurethral Enucleation of the Prostate for Large volume Benign Prostatic Hyperplasia

Abstract

At 1month follow-up, there was statistically significant difference between both groups with regard to improvement in postoperative IPSS favouring M-TUEP (Median of Delta Change in IPSS (1 month Postoperative – Preoperative) was -0.5242 in M-TUEP and -0.2838 in B-TUEP group with P-value 0.008). Meanwhile, there was no statistically significant difference between both groups regarding improvement in postoperative QoL (Median of Delta Change in QoL (1 month Postoperative – Preoperative) was -0.5 in M-TUEP and -0.5 in B-TUEP group with P-value 0.837). At 6 month follow-up, there were no statistically significant differences between both groups with regard to improvements in postoperative IPSS(Median of Delta Change in IPSS (6 months Postoperative – Preoperative) was -0.6687 in M-TUEP and -0.7165 in B-TUEP group with P-value 0.695), QoL score(Median of Delta Change in QoL (6 months Postoperative – Preoperative) was -0.75 in M-TUEP and -0.775 in B-TUEP group with P-value 0.613), Qmax(Median of Delta Change in Qmax was 1.54321 in M-TUEP and 1.08519 in B-TUEP group with P-value 0.106), Qaveage(Median of Delta Change in Qaverage was 1.85 in M-TUEP and 1.33425 in B-TUEP group with P-value 0.055), Prostate volume (Median of Delta Change in prostate volume was -0.4939 in M-TUEP and -0.565 in B-TUEP group with P-value 0.317) or PVR(Median of Delta Change in PVR was -0.75 in M-TUEP and -0.785 in B-TUEP group with P-value 0.337). Also there were no statistical differences in these same values compared 1month with 6 months after surgery except IPSS favouring B-TUEP group.