What is difference between monopolar and bipolar TURP?
Bipolar TURP using the TURis system was performed with the same speed as monopolar TURP but caused 34% less bleeding, the difference being greatest (81%) for the largest blood losses. Bipolar TURP also required fewer erythrocyte transfusions than the conventional monopolar technique.
What is a monopolar TURP?
Monopolar TURP: Conventional TURP removes tissue with a wire loop that has electrical current flowing in one direction (monopolar) through the resectoscope to cut the tissue. The surgical site is irrigated with nonconducting fluid.
How is the TURP procedure done?
In transurethral resection of the prostate (TURP), a combined visual and surgical instrument (resectoscope) is inserted through the urethra where it’s surrounded by prostate tissue. An electrical loop cuts away excess prostate tissue to improve urine flow. You’ll likely stay in the hospital for one to two days.
Why normal saline is not used in TURP?
As an isotonic electrolyte medium, normal saline is the most physiologic irrigant for TURP, but its electrical conducting properties prohibit its use with conventional monopolar cautery.
Is bipolar TURP safe?
Bipolar TURP is safer than monopolar TURP because of lower risk for TUR syndrome, less intraoperative bleeding, and lower incidence of postoperative complications.
What is the difference between monopolar and bipolar cautery?
There is one basic difference between bipolar and monopolar techniques. With monopolar electrosurgery, a probe electrode is used to apply the electrosurgical energy to the target tissue to achieve the desired surgical effect. With the bipolar electrosurgical method a bipolar device, often a set of forceps, is used.
What does TURis stand for in urology?
The efficacy of transurethral resection in saline (TURis) is equivalent to that of monopolar transurethral resection of the prostate (mTURP) in terms of improving lower urinary tract symptoms due to benign prostatic enlargement.
Can TURP be done in an outpatient setting?
The transurethral resection of the prostate is a minimally invasive procedure performed in the hospital setting. It can be an outpatient procedure, or it may require a one-night stay at the hospital. The procedure uses a small resectoscope inserted through the urethra.
What is scraping of the prostate?
A transurethral resection of the prostate (TURP) is surgery to remove parts of the prostate gland through the penis. No incisions are needed. The surgeon reaches the prostate by putting an instrument into the end of the penis and through the urethra.
What fluid do you use for a TURP?
Normal saline is the ideal irrigation fluid for TURP; however its electrical conducting properties prohibit its use with conventional monpolar TURP system in the past.
Why is glycine used in TURP?
The authors conclude that the irrigating fluid should have a minimal concentration of glycine, near to the level of haemolysis onset, to minimize the plasma dilution effects, including hyponatraemia, and the appearance of metabolites when the irrigating fluid is absorbed.
What’s the difference between Button TURP and bipolar cautery?
Button TURP, also called bipolar cautery vaporization, is a newer, less invasive variation of the procedure. Instead of a wire loop on the end of the scope, the surgeon uses a device with a small, button-shaped tip to vaporize prostate tissue.
How long is a transurethral catheter in place after a TURP?
Transurethral resection of the prostate (TURP) You’ll have a urinary catheter in place because of swelling that blocks urine flow. The catheter is generally left in place for at least 24 to 48 hours, until swelling declines and you’re able to urinate on your own.
How is a TURP done in a prostate resection?
Now, a TURP is done via continuous flow, using bipolar electrical current. This allows the surgeon to use saline as an irrigant rather than water, and this has dramatically increased our ability to offer a bipolar TURP to patients with larger prostates allowing for longer resection times and far fewer complications.
Which is more effective TURP or other minimally invasive procedures?
While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective. These procedures generally cause fewer complications and have a quicker recovery period than TURP.