Bipolar vs monopolar resection of bladder tumours of >3 cm in patients maintained on low-dose aspirin: A randomised clinical trial

Objective: To compare the safety and efficacy of bipolar vs monopolar transurethral resection of bladder tumour (TURBT) in patients maintained on low-dose aspirin with tumours >3 cm. Patients and methods: A prospective randomised single-centre study was performed including 200 patients with bladd...

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Autores principales:	Mohamed M. Hashad, Hussein M. Abdeldaeim, Ahmed Moussa, Akram Assem, Tamer M. Abou Youssif
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Bipolar Bladder tumours Low-dose aspirin Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/50a59d13ad0944749006721d41c45f77
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spelling	oai:doaj.org-article:50a59d13ad0944749006721d41c45f772021-12-02T10:04:12ZBipolar vs monopolar resection of bladder tumours of >3 cm in patients maintained on low-dose aspirin: A randomised clinical trial2090-598X10.1016/j.aju.2017.04.001https://doaj.org/article/50a59d13ad0944749006721d41c45f772017-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300645https://doaj.org/toc/2090-598XObjective: To compare the safety and efficacy of bipolar vs monopolar transurethral resection of bladder tumour (TURBT) in patients maintained on low-dose aspirin with tumours >3 cm. Patients and methods: A prospective randomised single-centre study was performed including 200 patients with bladder tumours of >3 cm, as measured by ultrasonography. All patients were using low-dose aspirin (81 mg/day), which was not stopped in the perioperative period. Patients were randomised into two groups: Group A, monopolar TURBT (M-TURBT); Group B, bipolar TURBT (B-TURBT). The primary endpoint of the study was the decrease in postoperative haemoglobin (Hb) concentration measured using an automated cell counter. The secondary endpoints of the study were intraoperative blood transfusion or the occurrence of urethral trauma during cystoscopy and the need for re-coagulation. Results: The postoperative reduction in Hb concentration, was significantly lower in the B-TURBT group [mean (SD) 0.55 (0.26) g/dL] compared with the M-TURBT group [mean (SD) 1.24 (0.61) g/dL] (P < 0.001). There was also a significant difference (in favour of B-TURBT) between the groups in the mean postoperative reduction in haematocrit and the mean postoperative hospital stay. There was no significant difference between the groups for the occurrence of obturator jerk, bladder perforation, and the need for blood transfusion. Conclusion: B-TURBT in patients maintained on low-dose aspirin is better than M-TURBT for minimising postoperative drop in Hb concentration.Mohamed M. HashadHussein M. AbdeldaeimAhmed MoussaAkram AssemTamer M. Abou YoussifTaylor & Francis GrouparticleBipolarBladder tumoursLow-dose aspirinDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 3, Pp 223-227 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Bipolar Bladder tumours Low-dose aspirin Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Bipolar Bladder tumours Low-dose aspirin Diseases of the genitourinary system. Urology RC870-923 Mohamed M. Hashad Hussein M. Abdeldaeim Ahmed Moussa Akram Assem Tamer M. Abou Youssif Bipolar vs monopolar resection of bladder tumours of >3 cm in patients maintained on low-dose aspirin: A randomised clinical trial
description	Objective: To compare the safety and efficacy of bipolar vs monopolar transurethral resection of bladder tumour (TURBT) in patients maintained on low-dose aspirin with tumours >3 cm. Patients and methods: A prospective randomised single-centre study was performed including 200 patients with bladder tumours of >3 cm, as measured by ultrasonography. All patients were using low-dose aspirin (81 mg/day), which was not stopped in the perioperative period. Patients were randomised into two groups: Group A, monopolar TURBT (M-TURBT); Group B, bipolar TURBT (B-TURBT). The primary endpoint of the study was the decrease in postoperative haemoglobin (Hb) concentration measured using an automated cell counter. The secondary endpoints of the study were intraoperative blood transfusion or the occurrence of urethral trauma during cystoscopy and the need for re-coagulation. Results: The postoperative reduction in Hb concentration, was significantly lower in the B-TURBT group [mean (SD) 0.55 (0.26) g/dL] compared with the M-TURBT group [mean (SD) 1.24 (0.61) g/dL] (P < 0.001). There was also a significant difference (in favour of B-TURBT) between the groups in the mean postoperative reduction in haematocrit and the mean postoperative hospital stay. There was no significant difference between the groups for the occurrence of obturator jerk, bladder perforation, and the need for blood transfusion. Conclusion: B-TURBT in patients maintained on low-dose aspirin is better than M-TURBT for minimising postoperative drop in Hb concentration.
format	article
author	Mohamed M. Hashad Hussein M. Abdeldaeim Ahmed Moussa Akram Assem Tamer M. Abou Youssif
author_facet	Mohamed M. Hashad Hussein M. Abdeldaeim Ahmed Moussa Akram Assem Tamer M. Abou Youssif
author_sort	Mohamed M. Hashad
title	Bipolar vs monopolar resection of bladder tumours of >3 cm in patients maintained on low-dose aspirin: A randomised clinical trial
title_short	Bipolar vs monopolar resection of bladder tumours of >3 cm in patients maintained on low-dose aspirin: A randomised clinical trial
title_full	Bipolar vs monopolar resection of bladder tumours of >3 cm in patients maintained on low-dose aspirin: A randomised clinical trial
title_fullStr	Bipolar vs monopolar resection of bladder tumours of >3 cm in patients maintained on low-dose aspirin: A randomised clinical trial
title_full_unstemmed	Bipolar vs monopolar resection of bladder tumours of >3 cm in patients maintained on low-dose aspirin: A randomised clinical trial
title_sort	bipolar vs monopolar resection of bladder tumours of >3 cm in patients maintained on low-dose aspirin: a randomised clinical trial
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/50a59d13ad0944749006721d41c45f77
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Bipolar vs monopolar resection of bladder tumours of >3 cm in patients maintained on low-dose aspirin: A randomised clinical trial

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