title: Short-stay transurethral prostate surgery: A randomized controlled trial comparing transurethral resection in saline bipolar transurethral vaporization of the prostate with monopolar transurethral resection.
abstract: OBJECTIVE
  The aim of the present study was to establish the safety and efficacy profile of transurethral resection in saline (TURis) bipolar vaporization of the prostate relative to monopolar transurethral resection of prostate (TURP) and to test the hospital stay efficiency after TURis vaporization.
  
  
  METHODS
  in this multicenter, double-blinded, prospective, randomized controlled trial, men aged 50-75 years old were randomized into two arms: TURis bipolar vaporization and monopolar TURP. Intraoperative details, perioperative parameters, and postoperative functional outcomes were assessed after intervention. Follow-up with symptom score assessment, prostate volume measurement, and uroflowmetry were performed at 3 and 6 months.
  
  
  RESULTS
  Eighty-four patients (mean age, 65.0 ± 5.6 years) were randomized into each study arm. TURis bipolar vaporization had a longer operative time than monopolar TURP (51.6 ± 24.5 vs 38.5 ± 20.3 min, P < 0.001). Postoperatively, the TURis group had a shorter catheter time (33.6 ± 23.7 vs 40.8 ± 29.4 h, P = 0.013) and a shorter length of hospital stay (43.14 ± 18.79 vs 52.33 ± 30.58 h, P = 0.013). The postoperative dysuria score was higher in the TURis vaporization arm. There was no statistically significant difference between the two arms in terms of hemoglobin change and postoperative complication. No significant difference was observed in quality of life score at 3 and 6 months.
  
  
  CONCLUSIONS
  TURis bipolar vaporization of the prostate is a safe and comparable alternative to monopolar TURP. It leads to a reduction in both catheter time and length of hospital stay.
authors.affiliation: Division of Urology, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
authors.forename: Chi-hang
authors.initials: CH
authors.lastname: Yee
authors.affiliation: Alice Ho Miu Ling Nethersole Hospital, Hong Kong.
authors.forename: Joseph Hon-ming
authors.initials: JH
authors.lastname: Wong
authors.affiliation: Division of Urology, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
authors.forename: Peter Ka-fung
authors.initials: PK
authors.lastname: Chiu
authors.affiliation: Division of Urology, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
authors.forename: Chi-kwok
authors.initials: CK
authors.lastname: Chan
authors.affiliation: Division of Urology, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
authors.forename: Wai-man
authors.initials: WM
authors.lastname: Lee
authors.affiliation: Division of Urology, Department of Surgery, Queen Mary Hospital, University of Hong Kong, Hong Kong.
authors.forename: James Hok-leung
authors.initials: JH
authors.lastname: Tsu
authors.affiliation: Division of Urology, Department of Surgery, Queen Mary Hospital, University of Hong Kong, Hong Kong.
authors.forename: Jeremy Yuen-chun
authors.initials: JY
authors.lastname: Teoh
authors.affiliation: Division of Urology, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
authors.forename: Chi-fai
authors.initials: CF
authors.lastname: Ng
mesh_terms: D000368:Aged; D004311:Double-Blind Method; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011446:Prospective Studies; D011470:Prostatic Hyperplasia / Q000601:surgery*; D012965:Sodium Chloride; D020728:Transurethral Resection of Prostate / Q000379:methods*; D016896:Treatment Outcome; D014835:Volatilization
chemical_list: D012965:Sodium Chloride
keywords: Benign Prostatic Hyerplasia (BPH); TURP; lower urinary tract symptoms