Sorry, I am not expert in this field.

Dear Alexander, I totally switched to bipolar resection in 2009 after changing the equipment. The advantage in comparison to monopolar TURP is the avoidance of TUR-Syndrom. With modern instruments it is possible to operate as quick as with monopolar technique. In TURB the incidence of  N. Obturatorius reflex is much lower. So I do not see an indication for monopolar TUR any more. Best regards

Dear Walter

Thank you very much for your response

But it can have at least some advantage monopolar TUR?

I quit TURP more than 15 years ago.I cannot answer your question.

Fritz Schröder

At my institution we have also switched almost entirely to bipolar TUR-B and P. I do not see any advantage with monopolar. If you use the mushroom for the prostate you will not get any tissue, which is relevant in a few cases.

Dear Lotte!

Thanks

 According to my experience, if we analyse the resected mass of the prostate there is stil advantage of the monopolar TURP. Of course new generations of the bipolar instruments could change it.

I agree with Walter that the incidence of N. Obturatorius reflex is much lower performing  bipolar TUR .

I do bipolar tur(TURIS) for bladder tumor because of bladder perforation is much lower and obterator reflex.

Dear Nikola!

Thanks. \Very important to the opinion of the experts! All the same, different, and resection of time and technology and the thrill of promoting themselves loop

We still do monopolar. In my opinion it has theoretical advantage in bladder tumors because distilled water can kill floating tumor cells

We still use monopolar TURP, actually the chips of monopolar is larger.

Complications due to monopular are less than those of Bipolar.(hemorrhage,perforations and turp syndrom)

I follow your discussion with interest. Howevr I am retired, nu more TURPs

Fritz

dear Bijan Rezakhaniha

thanks for the comment

and how much more often complications with bipolar TUR according to your data?

Dear Fritz H Schröder

Thank you for your interest in our discussion.

We very much appreciate and respect you and your opinion

Comment to all

And do not you notice a longer operation time with a bipolar variant?

Bipolar TURP give the chance to use Normal Saline, which decrease the risk of TURP SYNDROME, and decrease the risk of obturator reflex, but do not decrease the risk of other complications, if it didn't increased as Dr. Bijan said.

Exactly yes

I simply enjoy doing bipolar resection. In my experience; it is associated with less complications including less bleeding and theoritically Lower risk of TUR syndrome. I wrote theoretical as I still also do mono polar resection and working fast we do not really encounter TUR syndrome. It is a rare complication. The only advantage that makes me still using monopolar is being cheaper so it is valid option for patients with small prostate with no medical risk factor.

thanks for the answer

but technically, which option is more convenient for you?

Bipolar is more convenient

Probably more comfortable that option to which the surgeon was used?