الفهرس 
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Abstract
This study was performed to compare the efficacy of bipolar and monopolar TURP for sealing of prostatic vessel diameter and their hemostatic effect in treatment of BPH.
All Patients were preoperatively evaluated in details by medical history, physical examination including DRE, laboratory investigations including preoperative serum sodium level, and imaging evaluation including abdomino-pelvic and transrectal ultrasound. IPSS was determined in all cases. Patients were further assessed by uroflowmetry (Qmax). Assessment of IPSS, Qmax, and PVR urine volume were omitted in men presented by urinary retention.
In both groups; resection time and resected volume were analyzed. Blood loss and DROP in Hemoglobin and sodium values were determined.
Postoperative catheter time and hospital stay were recorded. Intraoperative and postoperative complications and the need for blood transfusion were noted. The improvements of IPSS, Qmax, and PVR urine after four months were also recorded for all patients.
We found that, the differences were statistically mild significant regarding to calculated blood loss during operation with less blood loss during Bipolar TURP. Also we noticed that operative time was less in Bipolar TURP than in Monopolar TURP, but with no significant statistical difference.
Postoperative Hb, Hct and Na+ DROP were less in Bipolar TURP but also with no significant statistical difference .
The mean postoperative bladder irrigation time, postoperative catheter time and postoperative hospital stay were similar in both groups with no significant statistical difference.
In both groups, there blood transfusion in 0 cases of Bipolar TURP and 3 cases of Monopolar TURP postoperatively. Also TUR syndrome occurred in 1 patients in Monopolar TURP in our study.
As regard the postoperative complications, urine retention occurred only in 0 cases in the Bipolar TURP group (0%) and in 1 patients of the Monopolar TURP group (5%). But regarding to secondary Hematuria 2 cases occurred in monopolar group and these cases patients were treated successfully by medical treatment with no need for reoperation or blood transfusion. And no secondary hematuria occurred in bipolar group.
All patients in both groups showed marked improvement in IPSS, Qmax, and PVR after 4 months postoperative with suspected more improvement in both groups with time .