astmedАстраханский медицинский журналAstrakhan medical journal1992-6499ФГБОУ ВО Астраханский ГМУ Минздрава России10.17021/2019.14.2.81.86astmed-28Research ArticleВ ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУASSISTANCE TO THE PRACTITIONERCOMPARATIVE EVALUATION OF MONOPOLAR AND BIPOLAR TRANSURETHRAL RESECTION OF THE PROSTATENasirovP. R.pnassirov@hotmail.comAzerbaijan State Advanced Training Institute for Doctors named after A. AliyevRussian Federation2019270220231428186Copyright © Nasirov P.R., 20232023Nasirov P.R.Nasirov P.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.astmedj.ru/jour/article/view/28

The article discusses the author’s experience with monopolar (M-TURP) and bipolar (B-TURP) transurethral resection (TUR) of the prostate for benign prostatic hyperplasia (BPH) performed in a total of 49 patients, approximately the same number of patients in each group, in three private clinics. Information from modern urological literature on the technical characteristics of operations, indications and complications are given. The main purpose of the article is to give recommendations to general practitioners and novice urologists for adequate preparation of patients with BPH for TUR of prostate surgery, optimization of the choice of endourological instruments and irrigation solutions, taking into account reduction of intraoperative complications. It has been revealed that with a large prostate gland (> 70 g), bipolar resection of the prostate gland is a relatively safe method of resection compared with monopolar resection, taking into account the risk of TUR syndrome. It is confirmed that epidural anesthesia is preferable to spinal one, especially in simultaneous operations, taking into account the control of postoperative pain. Antibacterial treatment 24 hours before surgery reduces the risk of developing postoperative infection in patients with acute urinary retention and / or when handling the Foley catheter in situ. In this study, no significantly higher urethral stricture frequency has been found in the bipolar group. It has also been established that chronic urinary tract infections (chronic epididymitis, chronic prostatitis) in elderly men are not a contraindication for performing surgically “clean” operations in the inguinal-scrotal region.

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The authors declare that there are no conflicts of interest present.