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Monopolar versus bipolar transurethral resection of bladder tumors: A single center, parallel arm, randomized, controlled trial

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Venkatramani V., Panda A., Manojkumar R., Kekre N.S.

Journal of Urology 2014

Purpose We compared the safety and efficacy of bipolar transurethral resection and monopolar resection for bladder tumors. Materials and Methods A single center, parallel arm, randomized, controlled trial was performed from May 2011 to August 2012. All patients with suspected bladder tumors were eligible for study inclusion. Those who refused consent and those undergoing routine restaging transurethral resection of bladder tumor were excluded from analysis. The primary end point was the incidence of obturator jerk. Secondary study outcomes included the decrease in hematocrit, rates of recoagulation and transfusion, bladder perforation, decrease in sodium, resection syndrome and resection time. Pathological quality was assessed by comparing deep muscle and the degree of severe cautery artifact in the 2 arms…(vermás)

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