A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow Obstruction

Giacomo Maria Pirola,1 Martina Maggi,2 Daniele Castellani,3 Alessandro Sciarra,2 Emanuele Rubilotta,4 Marilena Gubbiotti1 1Department of Urology, San Donato Hospital, Arezzo, Italy; 2Department of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy; 3Department of Urology, Ospedali...

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Main Authors: Pirola GM, Maggi M, Castellani D, Sciarra A, Rubilotta E, Gubbiotti M
Format: Article
Language:English
Published: Dove Medical Press 2021-07-01
Series:Research and Reports in Urology
Subjects:
Online Access:https://www.dovepress.com/a-costbenefit-analysis-of-bipolar-turp-for-the-treatment-of-bladder-ou-peer-reviewed-fulltext-article-RRU
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author Pirola GM
Maggi M
Castellani D
Sciarra A
Rubilotta E
Gubbiotti M
author_facet Pirola GM
Maggi M
Castellani D
Sciarra A
Rubilotta E
Gubbiotti M
author_sort Pirola GM
collection DOAJ
description Giacomo Maria Pirola,1 Martina Maggi,2 Daniele Castellani,3 Alessandro Sciarra,2 Emanuele Rubilotta,4 Marilena Gubbiotti1 1Department of Urology, San Donato Hospital, Arezzo, Italy; 2Department of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy; 3Department of Urology, Ospedali Riuniti di Ancona, Le Marche Polytechnic University, Ancona, Italy; 4Department of Urology, A.O.U.I, Verona University, Verona, ItalyCorrespondence: Marilena GubbiottiDepartment of Urology, San Donato Hospital, Arezzo, 52100, ItalyTel +393383910645Email marilena.gubbiotti@gmail.comAbstract: Transurethral resection of the prostate (TURP) is the gold standard surgical technique for endoscopic treatment of benign prostatic hyperplasia (BPH). Introduced in 2001, the bipolar energy appeared to be a valid alternative to the classical monopolar one with reduced risk of complication related to the use of saline irrigation and to the increased hemostatic efficacy. More recently, raising attention has been given to laser enucleation and vaporization techniques, which appear to achieve further advantages in terms of reduced hospital stay and complications compared to the resection ones. Few studies have investigated the cost/benefit ratio related to these techniques. The aim of this systematic review was to analyze the cost/benefit ratio of bipolar TURP (B-TURP) compared with other endoscopic procedures.Keywords: benign prostatic hyperplasia, transurethral resection of the prostate, bipolar TURP, bladder obstruction
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spelling doaj.art-3d889e36e6a24535aaa4fc5804de166d2022-12-21T20:28:07ZengDove Medical PressResearch and Reports in Urology2253-24472021-07-01Volume 1348749466782A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow ObstructionPirola GMMaggi MCastellani DSciarra ARubilotta EGubbiotti MGiacomo Maria Pirola,1 Martina Maggi,2 Daniele Castellani,3 Alessandro Sciarra,2 Emanuele Rubilotta,4 Marilena Gubbiotti1 1Department of Urology, San Donato Hospital, Arezzo, Italy; 2Department of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy; 3Department of Urology, Ospedali Riuniti di Ancona, Le Marche Polytechnic University, Ancona, Italy; 4Department of Urology, A.O.U.I, Verona University, Verona, ItalyCorrespondence: Marilena GubbiottiDepartment of Urology, San Donato Hospital, Arezzo, 52100, ItalyTel +393383910645Email marilena.gubbiotti@gmail.comAbstract: Transurethral resection of the prostate (TURP) is the gold standard surgical technique for endoscopic treatment of benign prostatic hyperplasia (BPH). Introduced in 2001, the bipolar energy appeared to be a valid alternative to the classical monopolar one with reduced risk of complication related to the use of saline irrigation and to the increased hemostatic efficacy. More recently, raising attention has been given to laser enucleation and vaporization techniques, which appear to achieve further advantages in terms of reduced hospital stay and complications compared to the resection ones. Few studies have investigated the cost/benefit ratio related to these techniques. The aim of this systematic review was to analyze the cost/benefit ratio of bipolar TURP (B-TURP) compared with other endoscopic procedures.Keywords: benign prostatic hyperplasia, transurethral resection of the prostate, bipolar TURP, bladder obstructionhttps://www.dovepress.com/a-costbenefit-analysis-of-bipolar-turp-for-the-treatment-of-bladder-ou-peer-reviewed-fulltext-article-RRUbenign prostatic hyperplasiatransurethral resection of the prostatebipolar turpbladder obstruction
spellingShingle Pirola GM
Maggi M
Castellani D
Sciarra A
Rubilotta E
Gubbiotti M
A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow Obstruction
Research and Reports in Urology
benign prostatic hyperplasia
transurethral resection of the prostate
bipolar turp
bladder obstruction
title A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow Obstruction
title_full A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow Obstruction
title_fullStr A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow Obstruction
title_full_unstemmed A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow Obstruction
title_short A Cost–Benefit Analysis of Bipolar TURP for the Treatment of Bladder Outflow Obstruction
title_sort cost ndash benefit analysis of bipolar turp for the treatment of bladder outflow obstruction
topic benign prostatic hyperplasia
transurethral resection of the prostate
bipolar turp
bladder obstruction
url https://www.dovepress.com/a-costbenefit-analysis-of-bipolar-turp-for-the-treatment-of-bladder-ou-peer-reviewed-fulltext-article-RRU
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