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A Prospective Analytical Study on Comparison of Bipolar Transurethral Enucleation of Prostate Vs Bipolar Transurethral Resection of Prostate
Dr. Mayank Kandpal, Dr. Sudhir Pal, Dr. Saurabh Jain, Dr. Mohit Sharma, Dr. Devanand Sairker
DOI : 10.5281/zenodo.8352550
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Abstract

Objectives: The purpose of this study was to evaluate the safety and effectiveness of bipolar transurethral enucleation and resection of the prostate (TUEP) compared to bipolar transurethral resection of the prostate (TURP) in the treatment of enlarged prostate, with a focus on long-term results.

Materials and Methods: The present study conducted in patients admitted in Gandhi medical college associated Hamidia Hospital, Bhopal and carried out in Department of General Surgery. The study included 40 patients who admitted with the diagnosis of benign prostatic enlargement and underwent surgical treatment either by TEUP (n=20) or TURP (n=20) between the time periods of Jan 2021 to Sept. 2022. Patient characteristic and laboratory data were recorded and were examined pre and post operatively in terms of safety and efficacy.

Results: There were no significant differences in the preoperative parameters between groups. Comparing with TURP, TUEP had shorter time taken for surgery (33.5±3.28 and 46.75±7.99), more amount of tissue resected (33±8.74 and 26.5±9.45), minimal Post-OP-IPSS score (1.05±1.05 and 4.7±1.38) and fall in HB level (1.17±1.13 and 2.03±1.00) with statistically significant difference. In TUEP group significantly fewer reoperation and complications occurs with minimal Clavien-Dindo Grading(p-value-0.0003)as compared to TURP group. The statically significant lower mean hospital stay observed in TUEP and TURP groups (3.05±0.22 and 3.95±0.82, p-value-0.0298).

Conclusion: It is recommended that TUEP be chosen as the primary method for larger prostate sizes, as it has fewer complications, a shorter hospital stay, and greater safety and efficacy compared to TURP.

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