2016
DOI: 10.1089/end.2015.0410
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Bipolar Versus Monopolar Transurethral Resection of Nonmuscle-Invasive Bladder Cancer: A Meta-Analysis

Abstract: Our data showed that bTURB appeared to be a safe and efficient method and had presented several advantages when compared with conventional mTURB in the management of NMIBC. As a promising technique, bTURB may be used as a preferable choice instead of mTURB for superficial bladder tumor.

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Cited by 46 publications
(26 citation statements)
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References 23 publications
(39 reference statements)
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“…Bipolar resection was introduced to reduce the risk of complications encountered with monopolar resection, such as bladder perforation due to obturator nerve stimulation, and to provide better tissue specimens for the pathologist [3]. A meta-analysis comparing the safety and efficacy of plasmakinetic bipolar (bTURB) and monopolar TURB (mTURB) for nonmuscle-invasive BC found that bTURB was significantly associated with fewer complications, a shorter operative time and hospital stay, less blood loss, and a shorter catheterization time [16]. Moreover, the postoperative recurrence rates after 2 years favored bTURB over mTURB.…”
Section: Discussionmentioning
confidence: 99%
“…Bipolar resection was introduced to reduce the risk of complications encountered with monopolar resection, such as bladder perforation due to obturator nerve stimulation, and to provide better tissue specimens for the pathologist [3]. A meta-analysis comparing the safety and efficacy of plasmakinetic bipolar (bTURB) and monopolar TURB (mTURB) for nonmuscle-invasive BC found that bTURB was significantly associated with fewer complications, a shorter operative time and hospital stay, less blood loss, and a shorter catheterization time [16]. Moreover, the postoperative recurrence rates after 2 years favored bTURB over mTURB.…”
Section: Discussionmentioning
confidence: 99%
“…What is more, there were fewer complications such as obturator reflex and bladder perforation in the bTURB group. Also, the recurrence rates up to two years after the procedure were slightly more favourable for bTURB [6]. Nevertheless, another meta-analysis did not corroborate those findings; Cui et al found that there were no statistically significant differences between Full-text articles assessed for eligibility (n = 65)…”
Section: Conventional Resectionmentioning
confidence: 95%
“…Because of those facts, the resection with bipolar ener-gy is more precise with better haemostatic and less charring effect on both the resection bed and histopathological samples. Additionally, bTURB is a safer option for patients with implanted pacemakers or pregnant women [6].…”
Section: Conventional Resectionmentioning
confidence: 99%
“…Neben der Risikoreduktion der Perforation konnte mit diesen Maßnahmen zudem auch die Vollständigkeit der Tumorresektion verbessert werden, das Vorliegen von Muskelgewebe in der endgültigen Histologie erhöht und hierdurch das erneute Auftreten des Blasentumors vermindert werden [43]. Eine geringere obturatorische Reizung ist ebenso durch Verwendung eines bipolaren im Vergleich zum monopolaren Resektionsverfahrens möglich [44]. Eine aktuelle Metaanalyse zeigte dementsprechend eine signifikant geringere Auslösung des Obturatorreflexes sowie eine geringere Rate von Blasenperforationen bei einer bipolaren TUR-Blase [44].…”
Section: Harnblasenperforationunclassified
“…Eine geringere obturatorische Reizung ist ebenso durch Verwendung eines bipolaren im Vergleich zum monopolaren Resektionsverfahrens möglich [44]. Eine aktuelle Metaanalyse zeigte dementsprechend eine signifikant geringere Auslösung des Obturatorreflexes sowie eine geringere Rate von Blasenperforationen bei einer bipolaren TUR-Blase [44].…”
Section: Harnblasenperforationunclassified