sdü tıp fak derg Medical Journal of Süleyman Demirel University 2602-2109 Süleyman Demirel Üniversitesi 10.17343/sdutfd.1379409 Urology Üroloji COMPARISON OF PATIENTS UNDERWENT TUR-P AND BIPOLEP IN TERMS OF POST OPERATIVE PAIN TUR-P VE BİPOLEP UYGULANAN HASTALARIN POST OPERATİF AĞRI AÇISINDAN KARŞILAŞTIRILMASI https://orcid.org/0000-0001-8428-5055 Eryılmaz Kadir SULEYMAN DEMIREL UNIVERSITY, SCHOOL OF MEDICINE https://orcid.org/0000-0002-4802-9828 Baltik Mücahit Muş Malazgirt Devlet Hastanesi https://orcid.org/0000-0001-7611-0933 Ergün Osman SULEYMAN DEMIREL UNIVERSITY, SCHOOL OF MEDICINE https://orcid.org/0000-0001-9860-5910 Oksay Taylan SULEYMAN DEMIREL UNIVERSITY, SCHOOL OF MEDICINE 03 18 2024 31 1 39 43 10 24 2023 11 14 2023 Copyright © 1994, Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 1994 Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

ObjectiveTransurethral resection of the prostate (TUR-P)has been considered as the gold standard surgicaltreatment of BPH for many years. Over the past years,Bipolar Prostate Enucleation (BipolEP) has becamean important alternative method compared to TUR-Pfor BPH treatment. In our study, we aimed to comparethese two methods in terms of postoperative patientcomfort, pain and analgesic use.Material and MethodThe data of 40 patients who underwent TURP andBipolEP procedures in our clinic between May 2022and May 2023 were scanned. There were 20 patientsin the TUR-P group and 20 patients in the BipolEPgroup. Pre-, intra- and postoperative features of thepatients were evaluated. Pain assessments wererecorded using the Visual Analogue Scale (VAS)by asking patients at 6- hour intervals pre and postoperatively.The highest VAS score was recordedduring the post-operative responses. According to theanswers, the most appropriate painkillers were givenand their quantities were recorded.ResultsThe mean post-operative VAS pain score was 2.9 and3.2 in the TUR-P and BipolEP groups, respectively, andthere was no significant difference between them (p=0.684). Also, no significant difference was observed inthe quantities of NSAIDs, tramadol, parasetemol andhyoscine-N-Butyl Bromide used in postoperative paincontrol (p=1; p=1; p=0,29; p=0,221, respectively). Itwas found that TUR-P and BipolEP methods weresimilar in terms of postoperative pain and medicationrequirement.ConclusionIn our study, no differences were observed betweenthe two methods in terms of postoperative pain andnecessary medications.We believe that this outcomeis due to the fact that they are both performed withsimilar equipments and since they have the samesurgical indications they are performed on similarpatient groups.

AmaçTransüretral prostat rezeksiyonu (TUR-P), beningprostat hiperplazisin (BPH)’de uzun yıllardır kullanılanaltın standart cerrahi tedavidir. Bipolar prostatenükleasyonu (BipolEP); son yıllarda BPH tedavisindeTUR-P operasyonuna önemli bir alternatif yöntemhaline gelmiştir. Çalışmamızda bu iki yöntemin postoperatif hasta konforu, ağrısı ve ağrı kesici ilaç kullanımıaçısından karşılaştırmayı hedefledik.Gereç ve YöntemMayıs 2022 ve Mayıs 2023 tarihleri arasında kliniğimizdeTUR-P ve BipolEP cerrahisi yapılan 40 hastanınverileri tarandı. TUR-P grubunda 20 hasta, BipolEPgrubunda 20 hasta mevcuttu. Hastaların; pre,intra ve post operatif özellikleri değerlendirildi. Hastalarapre ve post operatif 6 saat aralıklarla ağrı VizüelAnalog Skala(VAS) skorları sorularak kaydedildi. Postoperatif alınan cevaplarda en yüksek VAS skoru kayıtaltına alınmıştır. Cevaplara uygun ağrı kesici ilaçlarverilmiş ve adetleri kaydedilmiştir.BulgularPost operatif VAS ağrı skoru ortalaması TUR-P ve BipolEPgruplarında sırasıyla 2,9 ve 3,2 olarak bulunduve aralarında anlamlı fark yoktu (p: 0,684). Postoperatif ağrı kontrolü için kullanılan NSAİD, tramadol,parasetemol ve hiyosin-N- Butil Bromür sayıları açısındanda anlamlı fark izlenmedi (sırasıyla p=1; p=1;p=0,29; p=0,221). TUR-P ve BipolEP yöntemlerininpost operatif ağrı ve medikasyon gerekliliği açısındanbenzer olduğu görüldü.SonuçÇalışmamızda her iki yöntem arasında post operatifağrı ve gerekli medikasyon açısından bir fark izlenmemiştir.Birbirine yakın ekipmanlar ile yapılmaları,cerrahi endikasyonları aynı olan yöntemler olması vebenzer hasta gruplarına uygulanmasından dolayı ikigrup arasında ağrı açısından fark olmadığını düşünmekteyiz.

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