Bipolar plasma TURP of a large volume prostate: The white resection
Abstract
The video shows the synthesis of a TURP of a prostate with a volume of 180 ml performed using the the latest bipolar plasma edge technology by Lamidey with MCB bipolar generator. TURP remains the gold standard and it is strongly recommended for the treatment of moderate-to-severe LUTS men with prostate size of 30-80 mL. Oversized prostates > 80-100 mL undergo to traditional open prostatectomy or to laser enucleation. The TURP shown in the video is one of a group of 29 patients with prostate larger than 100 ml and up to 260 ml treated by bipolar plasma TURP since November 2018. The approach for those oversized prostate was posterior to remove first the large medium lobe. For the lateral lobes a tunnel between the lobe and the prostate capsule was made to allow a faster and less bleeding resection of each lobe from the lateral to the median part. Average operative time was 78 minutes (range 50-120); mean hospitalization time was 5 days (range 2-13); no patient had TUR syndrome; none required blood trasfusion; no other adverse event were registered. The use of saline solution and the short operative time allow the procedure to be safe also for large size prostate. Larger studies are mandatory to confirm our results.
Argomenti: Ipertrofia prostatica