Bipolar vs Monopolar Transurethral Resection of the Prostate (TURP)

Inclusion Criteria:

• Symptomatic benign prostatic hyperplasia including patients with acute urinaryretention;

• Peak urinary flow rate < 12 ml/sec;

• American Urological Association (AUA) symptom score > 12.

Exclusion Criteria:

• Previous open or transurethral prostatic surgery;

• History of urethral stricture;

• Failure to discontinue alpha-adrenergic blocking agents for at least 14 days prior tosurgery;

• Failure to discontinue 5-alpha reductase inhibitor for at least 1 month prior tosurgery;

• Patient interested in future fertility;

• Patient with known neurogenic bladder dysfunction;

• Untreated urinary tract infection;

• American Society of Anesthesiologist (ASA) Class >III;

• Patients requiring anticoagulation with Coumadin or Heparin;

• Patient unable or unwilling to comply with follow-up schedule.