Re: Huang et al.: Bipolar Transurethral Resection of the Prostate Causes Deeper Coagulation Depth and Less Bleeding Than Monopolar Transurethral Prostatectomy (Urology 2012:80:1116-1120)

摘要

We read with interest the report recently published by Huang et al on bipolar (B-TURP) vs monopolar tran-surethral resection of the prostate (M-TURP). With due respect, we would like to comment on some issues regarding the clinical relevance and accuracy of their results and conclusions that need further attention.Postoperative bleeding is vaguely and subjectively defined as ".. .bleeding within the first day after operation, irrigation fluid draining out becoming bright red, and clot retention occurring when serious..." Thus, the reported significantly less bleeding with B-TURP is questionable. Even if this is the case, the finding is of unclear importance because it is not obvious whether this is translated into a significant clinical benefit.