A Study on Bipolar Transurethral Resection of Prostate (TURP) versus Transurethral Resection and Electrovaporization (TURP-TUVP) Sandwich Procedure

Background: TURP is the gold standard for endoscopic treatment of BPH. Nonetheless, it remains associated with significant morbidity, especially in terms hemorrhage leading to possible blood transfusion and delayed hospital discharge. TUVP reported improvements subjective objective measures but a high rate postoperative irritative symptoms lack tissue histologic examination. The concept behind sandwich procedure overcome drawbacks two procedures. Objective: To compare outcome bipolar transurethral resection prostate (TURP) electrovaporization (TURP-TUVP) patient benign prostatic hyperplasia. Methods: This quasi experimental study was conducted Department Urology, National Institute Kidney Diseases Urology (NIKDU), Dhaka, Bangladesh from July 2017 June 2019 over period 2 years. Sixty patients BOO caused by hyperplasia scheduled were included this study. Patients selected first purposive sampling grouped into A B randomization. Group underwent while group method. Perioperative findings as well IPSS Qmax PVR after 3 months operation compared. Results: Operative time significantly longer TURP-TUVP than (P value 0.036).Post operative stay <0.001). Catheterization higher <0.001).Intra-operative irrigation 0.001). Post Hemoglobin decrease Similarly, sodium that not statistically 0.81).Clot retention (6.7%) group. Short-term follow up at month showed no difference groups 0.349), 0.022) value0.005) Conclusion:. has intraoperative irrigation, lower catheterization time, hemoglobin change stay. J. Urol. 2021; 24(2): 161-165