A single center experience of bipolar transurethral resection of the prostate in Port Harcourt, Nigeria

Abstract

Background: Bipolar Transurethral Resection of the Prostate (B-TURP) is a minimally invasive surgical technique used in the treatment of benign prostatic hyperplasia (BPH). This study aims to evaluate the effectiveness and safety of B-TURP in a real-world clinical setting by analyzing perioperative outcomes, complication rates, and overall clinical performance in patients treated at a single specialist urology center. Materials and Methods: This prospective study included all B-TURP procedures performed at a single medical center between January and December 2024. Data collected included patient demographics (age, gender), clinical diagnosis, procedure duration, preoperative and postoperative prostate weights, length of hospital stay, and complications. Results: The patients’ population was 85 and their mean age was 71.1 years. The majority were aged between 60 and 79 years, and the range was between 50 and 93 years. The mean gross prostate mass before surgery was 80.0 grams, while the average resected tissue mass was 53.4 grams. The mean procedure duration was 57.3 minutes. The average length of hospital stay was 3.2 days, and complications were documented in 3 cases (3.5%). A positive correlation was observed between total prostate size and the amount of tissue resected. Conclusion: Bipolar trans-urethral resection of the prostate (B-TURP) is a safe and effective surgical option for the treatment of BPH, as seen in the 85 patients who were successfully care for with 57.3 minutes mean operation time, 3.2 days mean hospital stay, and 3.5% complication rate.