Transurethral bipolar prostate resection
Allows for the approach of complex prostates, simultaneous bladder tumours or bladder lithiasis during the same operation
Bipolar transurethral resection of the prostate is a traditional technique, without skin incisions, which has been routinely performed in Urology Departments for years with satisfactory results and minimal morbidity.
Access to the prostate is gained through the urethra and a transurethral prostatectomy is performed in which the tissues that are compressing the area and causing the symptoms are removed. No skin incision is made and it allows bladder tumours and lithiasis to be treated in parallel with benign prostatic hyperplasia.
Given the simplicity of this bipolar prostate surgery, it is suitable for virtually all patients, although prostates larger than 70 cc in volume should be better treated with other techniques such as holmium laser enucleation (HolMP).
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How is transurethral resection of the prostate (TURP) performed?
Transurethral resection of the prostate is performed under spinal or general anaesthesia, and an optic with a working element is inserted through the urethra. This element makes it possible to resect, i.e. cut into small fragments, the prostate tissue that compresses the urethra.
Bipolar energy, when using saline, allows us to reduce the adverse effects derived from the use of hypotonic saline, which is typical of monopolar resection. In this way, we can treat complex prostates, simultaneous bladder tumours or bladder lithiasis during the same operation.