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CompletedNCT02681471Updated Feb 12, 2016

Bipolar Versus Monopolar Resection of Benign Prostate Hyperplasia

An interventional study of 5% Mannitol and 0,9% Sodium chloride in Acute Hyponatremia, sponsored by Istanbul University. Completed at 1 site in Turkey. Open to male participants aged 50 Years to 90 Years. Per ClinicalTrials.gov, last updated 2016-02-12.

Sponsored by Istanbul University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
53
Allocation
Randomized
Ages
50 Years to 90 Years
Sex
Male
01

Study summary

Aim of this prospective clinical study was to compare two different surgical techniques and used solutions on serum electrolytes, bleeding and Transurethral Resection of Prostate (TURP) syndrome undergoing TURP.

Fifty-three patients scheduled for elective TURP were enrolled in this prospective clinical study. Patients were included one of two groups (Group Monopolar and Group Bipolar).

Read the detailed description

Background and Purpose:

Aim of this prospective clinical study was to compare two different surgical techniques and used solutions on serum electrolytes, bleeding and Transurethral Resection of Prostate (TURP) syndrome undergoing TURP.

Methods:

Fifty-three patients scheduled for elective TURP were enrolled in this prospective clinical study. Patients were divided into two groups. Patients in Group M (Monopolar) (n=25) were used monopolar resectoscope (Karl Storz, Tottling, Germany) and 5% mannitol as irrigating solution. Patients in Group B (Bipolar) (n=25) were used bipolar resectoscope TURis (OLYMPUS, Tokyo, Japan) and isotonic saline as irrigating solution. Patients who received spinal anaesthesia were given 2.5-3 ml 0.5% hyperbaric bupivacain intrathecally and others were given general anaesthesia. Patients demographics, prostate volumes, hemodynamic parameters, volumes of irrigation and IV solutions were recorded. Blood samples were collected preoperatively (control), 45 minutes after the induction (2nd Measurement) and 1 hour after the end of the operation for analyzing serum electrolytes, osmolarity, hemoglobin values.

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Conditions studied

  • Acute Hyponatremia

Keywords

  • Monopolar
  • Bipolar
  • TURP syndrome
  • hyponatremia
03

In context

Prostatic Hyperplasia

783 studies on the registry are indexed under Prostatic Hyperplasia; 174 are open to participants now.

This study's enrollment of 53 is below the median of 97 across 593 interventional studies indexed under Prostatic Hyperplasia.

Browse Prostatic Hyperplasia studies →

Lead sponsor

Istanbul University is the lead sponsor of 496 studies on the registry; 79 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
50 Years to 90 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Men were older than 50 years
  • Men suffered from symptomatic benign prostatic hyperplasia.

Exclusion criteria

Exclusion Criteria:

  • History of severe heart failure
  • History of respiratory failure
  • History of bleeding diathesis
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
53 participants (actual)

Study arms

  • Active comparator
    Monopolar TURP

    Patients in Group M (Monopolar) were used monopolar resectoscope (Karl Storz, Tottling, Germany) and 5% Mannitol as an irrigation fluid.

    Other: 5% Mannitol · Device: monopolar resectoscope

  • Active comparator
    Bipolar TURP

    Patients in Group B (Bipolar) were used bipolar resectoscope TURis (OLYMPUS, Tokyo, Japan) and 0,9% Sodium chloride as an irrigation fluid.

    Other: 0,9% Sodium chloride · Device: bipolar resectoscope TURis

Interventions

  • Other5% Mannitol

    Traditional monopolar TURP was performed by using and irrigation fluid containing 5% mannitol ( Resectisol Eczacibasi-Baxter).

    Also known as: Karl Storz resectoscope

  • Other0,9% Sodium chloride

    Bipolar TURP was carried out by using a 24 Fr TURis (OLYMPUS) resectoscope and irrigation fluid containing 0,9 % sodium chloride.

    Also known as: TURis (OLYMPUS) resectoscope

  • Devicemonopolar resectoscope
  • Devicebipolar resectoscope TURis
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What researchers measure

Primary outcomes

  1. Serum sodium level

    Sodium level (meq /L)

    Time frame: 0-3 hours

Secondary outcomes

  1. Serum osmolarity

    Osmolarity (mosm/kg)

    Time frame: 0-3 hours

  2. Serum potassium levels

    Potassium level (meq/L)

    Time frame: 0-3 hours

  3. Serum hemoglobin level

    Hemoglobin level (g /dL)

    Time frame: 0-3 hours

Other outcomes

  1. Systolic blood pressure

    mm Hg

    Time frame: 0-3 hours

  2. Diastolic blood pressure

    mm Hg

    Time frame: 0-3 hours

  3. Heart rate

    beat/min

    Time frame: 0-3 hours

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Study locations

1 site
  • Meltem Savran Karadeniz
    Istanbul, Fatih 34000, Turkey
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References and documents

Publications

  • Michielsen DP, Coomans D, Braeckman JG, Umbrain V. Bipolar transurethral resection in saline: the solution to avoid hyponatraemia and transurethral resection syndrome. Scand J Urol Nephrol. 2010 Sep;44(4):228-35. doi: 10.3109/00365591003720275. PubMed 20345336 ↗
  • Karadeniz MS, Bayazit E, Aksoy O, Salviz EA, Tefik T, Sanli O, Sungur MO, Tugrul KM. Bipolar versus monopolar resection of benign prostate hyperplasia: a comparison of plasma electrolytes, hemoglobin and TUR syndrome. Springerplus. 2016 Oct 7;5(1):1739. doi: 10.1186/s40064-016-3407-7. eCollection 2016. PubMed 27777873 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 12, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02681471
Lead sponsor
Istanbul University
Responsible party
Meltem Savran Karadeniz (Attending Anesthesiologist, Istanbul University) — Principal investigator
First posted
Feb 12, 2016
Start date
Dec 2013
Primary completion
Apr 2015
Completion
Apr 2015
Last update
Feb 12, 2016

Study contacts

Meltem Savran Karadeniz, MD
principal investigator · Istanbul University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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