title: Comparison of plasmakinetic transurethral resection of the prostate with monopolar transurethral resection of the prostate in terms of urethral stricture rates in patients with comorbidities.
abstract: OBJECTIVE
  To compare urethral stricture rates in comorbid patients undergoing plasmakinetic transurethral resection of the prostate (PK-TURP) and monopolar transurethral resection of the prostate (M-TURP) for benign prostatic hyperplasia.
  
  
  METHODS
  The data of 317 patients with comorbidities undergoing either PK-TURP or M-TURP from September 2008 to December 2012 were retrospectively evaluated. Preoperative and postoperative 12-month International Prostate Symptom Score, maximal flow rate, postoperative International Index of Erectile Function scores, and urethral stricture rates were evaluated.
  
  
  RESULTS
  A total of 154 patients underwent M-TURP and 163 patients underwent PK-TURP. Urethral stricture rates were 6/154 in the M-TURP treatment arm and 17/163 in the PK-TURP treatment arm (P=0.000). In the presence of hypertension and/or coronary artery disease and/or diabetes mellitus, the risk of urethral stricture complication was significantly higher in the PK-TURP group than in the M-TURP group (P=0.000).
  
  
  CONCLUSIONS
  The risk of urethral stricture increases with PK-TURP in elderly patients with a large prostate and concomitant hypertension and/or coronary artery disease and/or diabetes mellitus. Therefore, PK-TURP should be performed cautiously in this group of benign prostatic hyperplasia patients.
authors.affiliation: Department of Urology, Maltepe University School of Medicine, Istanbul, Turkey.
authors.forename: Orhun
authors.initials: O
authors.lastname: Sinanoglu
authors.affiliation: Department of Urology, Maltepe University School of Medicine, Istanbul, Turkey.
authors.forename: Sinan
authors.initials: S
authors.lastname: Ekici
authors.affiliation: Department of Urology, Maltepe University School of Medicine, Istanbul, Turkey.
authors.forename: Mb Can
authors.initials: MC
authors.lastname: Balci
authors.affiliation: Department of Urology, Maltepe University School of Medicine, Istanbul, Turkey.
authors.forename: A Ismet
authors.initials: AI
authors.lastname: Hazar
authors.affiliation: Department of Urology, Maltepe University School of Medicine, Istanbul, Turkey.
authors.forename: Baris
authors.initials: B
authors.lastname: Nuhoglu
keywords: Comorbidity; Prostatic hyperplasia; Transurethral resection of prostate; Urethral stricture