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Comparing the short - term outcomes and complications of monopolar and bipolar transurethral resection of bladder tumors in patients with coronary artery disese: a prospective, randomized, controlled study
Bolat, Deniz; Gunlusoy, Bulent; Aydogdu, Ozgu; Aydin, Mehmet Erhan; Dincel, Cetin.
Afiliación
  • Bolat, Deniz; Bozyaka Training and Research Hospital. Department of Urology. Izmir. TR
  • Gunlusoy, Bulent; Bozyaka Training and Research Hospital. Department of Urology. Izmir. TR
  • Aydogdu, Ozgu; Bozyaka Training and Research Hospital. Department of Urology. Izmir. TR
  • Aydin, Mehmet Erhan; Bozyaka Training and Research Hospital. Department of Urology. Izmir. TR
  • Dincel, Cetin; Bozyaka Training and Research Hospital. Department of Urology. Izmir. TR
Int. braz. j. urol ; 44(4): 717-725, July-Aug. 2018. tab, graf
Article en En | LILACS | ID: biblio-954064
Biblioteca responsable: BR1.1
ABSTRACT
ABSTRACT

Introduction:

To compare the perioperative outcomes and complications of monopolar and bipolar transurethral resection of bladder tumors (TURBT) in patients with coronary artery disease (CAD). Materials and

Methods:

A total of 90 CAD patients with newly diagnosed bladder cancer who underwent TURBT were randomized into monopolar TURBT (M-TURBT) and bipolar TURBT (B-TURBT) groups. Primary outcome was safety of the procedures including obturator jerk, bladder perforation, clot retention, febrile urinary tract infection and TUR syndrome. The secondary outcome was the efficacy of TURBT procedures, including complete tumor resection, sampling of the deep muscle tissue and sampling of the qualified tissues without any thermal damage.

Results:

Mean ages of the patients in M-TURBT and B-TURBT groups were 71.36±7.49 and 73.71±8.15 years, respectively (p=0.157). No significant differences were found between M-TURBT and B-TURBT groups regarding complete tumor resection (76.2% vs. 87.5%, p=0.162) and muscle tissue sampling rates (71.4% vs. 64.6%,p=0.252). Obturator jerk was detected in 16.7% of the patients in M-TURBT group and 2.1% in B-TURBT group (p=0.007). No statistically significant differences were found between the groups regarding intraoperative and postoperative complications.

Conclusions:

Both monopolar and bipolar systems can be used safely and effectively during TURBT procedure in CAD patients. Due to the more frequently seen obturator jerk in M-TURBT than B-TURBT, careful surgical approach is needed during M-TURBT.
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Texto completo: 1 Índice: LILACS Asunto principal: Neoplasias de la Vejiga Urinaria / Enfermedad de la Arteria Coronaria / Ureteroscopía Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: Int. braz. j. urol Asunto de la revista: UROLOGIA Año: 2018 Tipo del documento: Article

Texto completo: 1 Índice: LILACS Asunto principal: Neoplasias de la Vejiga Urinaria / Enfermedad de la Arteria Coronaria / Ureteroscopía Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: Int. braz. j. urol Asunto de la revista: UROLOGIA Año: 2018 Tipo del documento: Article