Patient’s Satisfaction Post-Transurethral Resection of the Prostate with Monopolar and Bipolar for Benign Prostate Hyperplasia

Abstract

Transurethral resection of the prostate (TURP), either bipolar or monopolar, is a surgical treatment for benign prostatic hyperplasia, which has similar effectiveness in reducing international prostate symptom score, increasing men peak flow rates, and reducing post-void residual volume. However, bipolar TURP (B-TURP) can reduce the incidence of bleeding and dilutional hyponatremia. This study aims to evaluate the effectiveness of the level of patient satisfaction between Monopolar-TURP (M-TURP) and B-TURP. 82 patients at three hospitals in Denpasar City were eligible as subjects based on inclusion criteria, consisting of 41 patients for each procedure. The recruitment method used consecutive sampling from March to August 2019. The patient’s demographics as baseline data were recorded. The level of patient satisfaction was recorded for one month after surgery through the SF-36 questionnaire. The baseline sample’s characteristics before surgery in both groups were statistically identical. In evaluating patient satisfaction levels, there are significant differences where TURP (B-TURP) is better in the domain of vitality (p=0.001), social function (p=0.005), pain (p=0.002), and general health (p=0.001). B-TURP resulted in an increasing level of patient satisfaction better than M-TURP.