Background: Endoscopic procedures like Trans urethral resection of prostate are scarless surgeries for benign prostatic hyperplasia, and unlike any other surgery, it has its ups and downs. Monopolar-TURP has been the standard of treatment for BPH but over time there has been a shift towards Bipolar-TURP. Methods: The present study is undertaken to study and compare postoperative outcomes after monopolar and bipolar transurethral prostate resection. An ambispectrive observational study was conducted on 68 patients who underwent transurethral resection of prostate From October 2017 to November 2021. Patients were placed in either M-TURP group (n=34) or B-TURP group (n=34), on the basis of surgical unit performing the procedure. Patients were followed for a period of three months after surgery and its outcomes (complications: hematuria, dysuria, incontinence, retrograde ejaculation and erectile dysfunction) were assessed and compared using Statistical Package for the Social Sciences (SPSS) v 20.0 (IBM Corp.) and Medcalc 19.5. Results: The age distribution shows the predominant age group to be of 71-75 years in both groups i.e. M-TURP (32.4%) and B-TURP (32.4%) respectively patients were comparable with age, prostate size and IPSS score and other complications. The mean hospital stay days was varied from 4.29±1.54 to 3.64±0.73 for Monopolar and Bipolar group respectively. Conclusions: Our study indicates that Bipolar and Monopolar Transurethral Resection of Prostate are comparable in terms of surgical outcomes and post operative complications. Bipolar TURP with better outcomes is the procedure of choice for benign prostatic hyperplasia.

Background: Endoscopic procedures like Trans urethral resection of prostate are scarless surgeries for benign prostatic hyperplasia, and unlike any other surgery, it has its ups and downs. Monopolar-TURP has been the standard of treatment for BPH but over time there has been a shift towards Bipolar-TURP. Methods: The present study is undertaken to study and compare postoperative outcomes after monopolar and bipolar transurethral prostate resection. An ambispectrive observational study was conducted on 68 patients who underwent transurethral resection of prostate From October 2017 to November 2021. Patients were placed in either M-TURP group (n=34) or B-TURP group (n=34), on the basis of surgical unit performing the procedure. Patients were followed for a period of three months after surgery and its outcomes (complications: hematuria, dysuria, incontinence, retrograde ejaculation and erectile dysfunction) were assessed and compared using Statistical Package for the Social Sciences (SPSS) v 20.0 (IBM Corp.) and Medcalc 19.5. Results: The age distribution shows the predominant age group to be of 71-75 years in both groups i.e. M-TURP (32.4%) and B-TURP (32.4%) respectively patients were comparable with age, prostate size and IPSS score and other complications. The mean hospital stay days was varied from 4.29±1.54 to 3.64±0.73 for Monopolar and Bipolar group respectively. Conclusions: Our study indicates that Bipolar and Monopolar Transurethral Resection of Prostate are comparable in terms of surgical outcomes and post operative complications. Bipolar TURP with better outcomes is the procedure of choice for benign prostatic hyperplasia.