TURP (Transurethral Resection of the Prostate) is a recommended treatment when an enlarged prostate leads to bothersome symptoms and does not respond to medication. When bipolar electric current is utilised in TURP, it is referred to as bipolar TURP, which provides numerous advantages over traditional methods.
At Apollo Hospitals in Jubilee Hills, Hyderabad, our proficient urologists offer bipolar TURP for patients suffering with enlarged prostate.
What Is the Purpose of Carrying out TURP?
TURP is typically recommended when symptoms caused by prostate enlargement (benign prostatic hyperplasia) become troublesome and do not respond to medication. It may also be indicated after an episode of acute urinary retention.
Symptoms that may improve following TURP include:
What Happens During TURP?
During TURP, a resectoscope, a thin metal tube with a light, camera, and wire loop, is inserted through your urethra, eliminating the need for any skin incisions. The heated wire loop is then used to remove the part of your prostate responsible for your symptoms. A catheter or a thin tube, is placed in your urethra to irrigate your bladder and remove the prostate tissue that was cut away. TURP is carried under general or spinal anaesthesia.
Bipolar TURP is performed using continuous flow and bipolar electrical current. This enables the surgeon to utilise saline instead of water as an irrigant, significantly enhancing our capability to provide bipolar TURP to patients with larger prostates. This allows for extended resection times and reduces the occurrence of complications.
Benefits of TURP
An advantage of bipolar TURP is that it retains all the energy within the device. In conventional (or monopolar) TURP, the electric current has the potential to exit the wire and harm surrounding tissues near the prostate.
Additionally, certain studies suggest that bipolar TURP reduces complications, including bleeding during and after the procedure. This could potentially shorten the duration of catheterisation required post-surgery for men. However, conflicting findings exist, as other studies have observed no disparity in complication rates.