Bipolar transurethral resection in saline in complicated forms of benign prostatic hyperplasia

Abstract

Background. It was analysed the results of the treatment of patients with complicated benign prostatic hyperplasia (BPH) by the bipolar (BP) transurethral resection (TUR). Methods. In the study included 604 patients with BPH, who were divided into two groups. the main group included 271 patients who received treatment after the introduction of the practice of BP TUR. In the control group (333 patients), the treatment was carried out before the introduction of BP TUR. Results. Complicated BPH was at 51.8 % of patients. The age of patients with high-risk of BPH (median - 70 years) was significantly higher than in patients without complications (median - 64 years). Prostate volume was also greater in complicated BPH (median - 77 and 64 cm³, respectively). BP TUR significantly more often performed in complicated BPH, than monopolar TUR. Due to it the main group achieved a reduction in the number of open prostatectomy and epitsistostomy. The mean duration of hospitalization in the study group (10 days) was significantly lower than in the control group (14 days). conclusions. More than half of the patients with BPH, surgery is performed only at the stage of development of complications. Age and prostate volume are risk factors for complications of BPH. Application of BP TUR reduces the need for epitsistostomiyah and open prostatectomy reduces the period of hospitalization. BP TUR has a good safety profile, including complicated BPH.