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Original Research

RMJ. 2020; 45(3): 622-625


Comparisons of obturator jerk using monopolar versus bipolar diathermy following transurethral resection of urinary bladder tumor

Aamir Ali Shaikh, Ahmed Bux Shaikh, Muhammad Imran Soomro, Nisar Ahmed Shaikh, Amanullah Abassi, Malik Hussain Jalbani.




Abstract

Objective: To compare obturator jerk using monopolar with bipolar diathermy for transurethral resection of urinary bladder tumor.
Methodology: This is Randomized control trial was conducted at urology ward of CMC, Larkana from January 1, to June 30, 2019. Total of 80 patients irrespective of age, both genders with history of hematuria and clinically or ultrasound of KUB showing mass in urinary bladder were included. All patients were distributed in 2 groups by lottery method. In Group 1, TUR-BT was done using bipolar diathermy and in Group 2, Monopolar Diathermy was used.
Results: In bipolar diathermy out of 40 patients, obturator jerk was noticed in 3 patients and 7 patients with monopolar, respectively.
Conclusion: Bipolar resection lead to decrease in complications rate with shorter catheterization time than monopolar study.

Key words: Monoplar diathermy, bipolar diathermy, TUR-BT and non-muscle invasive bladder cancer.






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