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Ahvaz Jundishapur University of Medical Sciences

بررسی مقایسه ای نتایج رزکشن پروستات از طریق مجرا با دو روش مونوپولار و بای پولار The Investigation Of Effectiveness Of Sildenafil For Prevention Of Pathological Postobstructive Diuresis In Rats

رحیمی زاده, جهانبخش (2017) بررسی مقایسه ای نتایج رزکشن پروستات از طریق مجرا با دو روش مونوپولار و بای پولار The Investigation Of Effectiveness Of Sildenafil For Prevention Of Pathological Postobstructive Diuresis In Rats. Post-Doctoral thesis, دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran,School of Medicine دانشکده پزشکی

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Abstract

Background: We compared Bipolar TURP with current monopolar TURP for safety and efficacy in 6 months follow-up. Methods: 94 patients with LUTS related to BPH were inscribed in this research. they were randomized to group B: underwent Bipolar TURP (47 patients) and group M: underwent monopolar TURP (47 patients). Preoperatively, by using of IPSS and IIEF-5 questionaries severity of LUTS and Erectile function were assessed. All patients were submitted to transrectal ultrasonography and PSA determination. surgical and immediately postsurgical variables and accidents were charted and all cases were re-assessed at 3 and 6 months after surgery by use of IPSS and IIEF-5 questionaries. Urethral stricture incidence and reoperation rate after surgery, total postoperative catheter time and hospital stay, change in Na and hemoglobin were also recorded in two groups. Results: There wasn't distinctly differ between two groups about blood transfusion necessity. The level of serum Na was clearly lower in monopolar group postoperatively. catheterization necessity time and duration of hospitalization were clearly shorter in B- group, transuretheral resection syndrome did not happen in any cases of the groups. the groups were corresponded about IPSS improvement. Changes in Erectile function, regarding to IIEF-5 scores were similar between the groups. Conclusions: Bipolar TURP is an impressive and secure techniqur that is correlated with a distinctly shorter catheterization time, shorter hospital stay, less decrement in the levels of serum sodium and is correspond with monopolar TURP about efficasy by attention to IPSS IIEF-5 scores.

Item Type: Thesis (Post-Doctoral)
Keywords: Transurethral resection of prostate, monopolar TURP, bipolar TURP
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: آقای بهرام سوسنی غریب وند
Date Deposited: 22 Apr 2018 08:43
Last Modified: 22 Apr 2018 08:43
URI: http://eprints.ajums.ac.ir/id/eprint/12739

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