{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T03:50:34Z","timestamp":1779162634765,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,10,24]],"date-time":"2014-10-24T00:00:00Z","timestamp":1414108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2015,4]]},"abstract":"\n Objectives<\/jats:title>\n \n To assess whether bipolar transurethral resection of the prostate (\n B<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n ) using the\n TUR<\/jats:styled-content>\n is\n \u00ae<\/jats:sup>\n system has a similar level of efficacy and safety to that of the traditional monopolar transurethral resection of the prostate (\n M<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n ), and to evaluate the impact of the\n TUR<\/jats:styled-content>\n is system on postoperative urethral stricture rates over a 36\u2010month follow\u2010up period.\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n A total of 136 patients with benign prostatic obstruction were randomised to undergo either\n B<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n using the\n TUR<\/jats:styled-content>\n is system or conventional\n M<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n , and were regularly followed for 36 months after surgery. The primary endpoint was safety, which included the long\u2010term complication rates of postoperative urethral stricture. The secondary endpoint was the follow\u2010up measurement of efficacy.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In peri\u2010operative findings, no patient in either treatment group presented with transurethral resection syndrome, and the decline in levels of haemoglobin and hematocrit were similar. The mean operation time was significantly extended in the\n TUR<\/jats:styled-content>\n is treatment group compared with the\n M<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n group (79.5 vs 68.6\u2009min;\n P<\/jats:italic>\n = 0.032) and postoperative clot retention was more likely to be seen after\n M<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n (\n P<\/jats:italic>\n = 0.044). Similar efficacy findings were maintained throughout 36 months, but a significant difference in postoperative urethral stricture rates between groups was detected (6.6% in\n M<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n vs 19.0% in\n TUR<\/jats:styled-content>\n is;\n P<\/jats:italic>\n = 0.022). After stratifying patients according to prostate volume, there was no significant difference between the two treatment groups with regard to urethral stricture rates in patients with a prostate volume \u2264 70\u2009mL (3.8% in\n M<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n vs 3.8% in\n TUR<\/jats:styled-content>\n is), but in the\n TUR<\/jats:styled-content>\n is group there was a significantly higher urethral stricture rate compared with the\n M<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n group in patients with a prostate volume >70\u2009mL (20% in\n TUR<\/jats:styled-content>\n is vs 2.2% in\n M<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n ;\n P<\/jats:italic>\n = 0.012). Furthermore, the mean operation time for\n TUR<\/jats:styled-content>\n is was significantly longer than for\n M<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n for the subgroup of patients with a prostate volume > 70\u2009mL (99.6 vs 77.2\u2009min;\n P<\/jats:italic>\n = 0.011), but not for the subgroup of patients with a prostate volume \u2264 70\u2009mL.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n The\n TUR<\/jats:styled-content>\n is system seems to be as efficacious and safe as conventional\n M<\/jats:styled-content>\n \u2010\n TURP<\/jats:styled-content>\n except that there was a higher incidence of urethral stricture in patients with larger preoperative prostate volumes.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.12831","type":"journal-article","created":{"date-parts":[[2014,6,9]],"date-time":"2014-06-09T07:23:08Z","timestamp":1402298588000},"page":"644-652","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":59,"title":["Incidence of urethral stricture after bipolar transurethral resection of the prostate using\n TUR<\/scp>\n is: results from a randomised trial"],"prefix":"10.1111","volume":"115","author":[{"given":"Kazumasa","family":"Komura","sequence":"first","affiliation":[{"name":"Department of Urology Osaka Medical College Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teruo","family":"Inamoto","sequence":"additional","affiliation":[{"name":"Department of Urology Osaka Medical College Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoaki","family":"Takai","sequence":"additional","affiliation":[{"name":"Department of Urology Osaka Medical 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