• E Kervancioglu, E Hasirci, F Salgur, Z Cicek, and H Doruk.
• Department of Urology, Baskent University School of Medicine, Ankara, Turkey.
• Niger J Clin Pract. 2024 Aug 1; 27 (8): 102010261020-1026.

BackgroundBenign prostatic hyperplasia unresponsive to medical treatment is an important problem for elderly patients. Although the gold standard surgical treatment is monopolar transurethral resection of the prostate (MTURP), postoperative complications are still a concern.AimThe aim of this study was to determine which transurethral prostate resection (TURP) methods are more effective and safer in elderly patients.MethodsPatients who underwent TURP in our clinic between 2012 and 2021 were analyzed retrospectively and divided into three groups according to their ages. Patients were treated with MTURP (n = 169) and bipolar transurethral resection of the prostate (BTURP) (n = 1152). Pre- and post-operative data for age groups were compared according to TURP methods.ResultsThe resection speed in the BTURP method was statistically significantly faster in groups 2 and 3 (P < 0.05). Although not statistically significant (P > 0.05), there was a numerically smaller decrease in hemoglobin (Hb) value in group 2 and a numerically greater decrease in post-voiding residual (PVR) volume in groups 1 and 3 in the BTURP method. The increase in maximum urine flow (Qmax) was significantly higher only in group 2 (P = 0.032), but it was numerically higher in all groups in the BTURP method.ConclusionThe results of this study showed that BTURP was at least as effective and safe as MTURP in geriatric patients and also better in terms of Hb decrease, resection speed, Qmax increase, and PVR volume decrease.Copyright © 2024 Copyright: © 2024 Nigerian Journal of Clinical Practice.

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