The results of the introduction of the bipolar methods transurethral resection in the surgical practice treatment of benign hyperplasia prostate

The evaluation of medium-term clinical results of the implementation of bipolar technique of transurethral resection and enucleation for the treatment of benign prostatic hyperplasia is presented. The study included 34 patients with a prostate volume of 60 cm3, was operated by the method of bipolar transurethral resection and 30 patients with 60 to 180 cm3 volume, operated by the method of bipolar transurethral enucleation. In the application of new endoscopic methods, the average term of postoperative catheterization was 3.1 days, hospitalization - 7.9 days, intra- and postoperative complications (bleeding, acute urinary retention, acute orchoepididymitis) were isolated. Two patients underwent repeated surgery to eliminate urinary retention and scarring of the bladder neck. 1 month after surgery, urine flow rate increased by 9.8 ml/s, residual urine volume decreased by 81.1 ml, the average score on the IPSS scale - by 20 points. Comparison with the results of open operations performed in the clinic earlier with similar volumes of the prostate gland showed high efficiency and safety of new endoscopic methods.