單極與雙極刀造成膀胱頸攣縮的比較
Comparison between monopolar and bipolar TURP in bladder neck contracture in Show Chwan Memorial Hospital
黃政建、林茂盛、王建翔、馮超傑、吳其翔、謝輝龍、陳兆智、周智原、林大鐘
秀傳醫療社團法人秀傳紀念醫院泌尿部；財團法人彰濱秀傳紀念醫院泌尿部；
竹山秀傳紀念醫院泌尿部；台中尚美泌尿科診所
Wong Jin-Kiong, Lin Mao-Sheng, Wang Chien-Hsiang, Fong Chau-Jye, Wu Chyi-Hsiang , Hsih Hui-Lung , Chen Chao-Chih , Chou chih-yuan, Lin Ta-Chong
Department of Urology, Chang Hua Show Chwan Memorial Hospital, Chang Bin Show Chwan Memorial Hospital, Chu Shang Show Chwan Memorial Hospital, Sun Mei Urology Clinic, Taichung, Taiwan
ABSTRACT:
Transurethral resection of prostate has high morbidity rate in postoperative bladder neck contracture especially in small volume of benign prostate hyperplasia.
Most conventional monopolar TURP has been replaced by bipolar plasmakinetic, PVP laser photovaporization and robotic assisted DaVinci minimal invasive surgical intervention alternatively.
Aim of this retrospective studies, to compare the incidency of postoperative bladder neck contracture between conventional monopolar and bipolar plasmakinetic prostate hyperplasia surgical intervention.
PATIENTS AND METHODS:
A total of 422 patients with diagnosed prostate hyperplasia underwent TURP intervention.
Monopolar patients of 164, collected from January 2005 to December 2005.
Bipolar patients of 258, collected from July 2014 to October 2016.
Factors parameters included age, postoperative bladder neck contracture mobidity.
RESULT:
Monopolar TURP has 5.5% in postoperative bladder neck compare to bipolar TURP 5.4%.
Bias may be due to large amount of difference in the numbers of cases.
CONCLUSION:
From our retrospective study, we conclude that there is no significant difference between monopolar and bipolar TURP in causing postoperative bladder neck contracture.