Is bipolar TURP painful?
There is little pain with a TURP. Blood in the urine is to be absolutely expected, and can occur for up to a month in a limited fashion. Although the catheter can be removed the next day, more typical is for the patient to be sent home with the urinary catheter for a few days.
Is button TURP the same as bipolar TURP?
Button, or bipolar, TURP is an umbrella term for a number of different treatments that aim to achieve the same overall outcome, but with different tools, techniques, or device manufactures. Any procedure that uses an electrode “button” with bipolar vaporization is a button procedure.
What are 3 common complications following a TURP?
Risks of TURP can include:
What is post TURP syndrome?
Absorption of large volumes of irrigation fluid during transurethral resection of the prostate (TURP) can produce hyponatremia, coma, blindness, and cardiorespiratory depression. This has been termed the "post-TURP syndrome." The pathophysiology and management of this syndrome are controversial.
Is bipolar TURP major surgery?
A transurethral resection of the prostate (TURP) is a minimally-invasive or endoscopic surgical procedure that involves cutting away a section of the prostate. This improves the flow of urine from the bladder to the outside. The prostate is a small gland in the pelvis only found in men.
One advantage of bipolar TURP is that all the energy stays inside the device. In regular (or monopolar) TURP, the electric current can leave the wire and damage tissues around the prostate.Some studies have also that bipolar TURP reduces complications, such as bleeding during and after surgery. This may also lead to a shortening of the time men have to use a catheter (a tube to remove urine) after surgery. However, other studies have found no difference in complication rates.
One post-TURP problem bipolar TURP does appears to prevent is a rare but very serious condition called TUR syndrome. During regular (monopolar) TURP, the surgeon washes out the surgical area with a fluid to keep the area clean and clear. This fluid is low in sodium and there is a potential for if it to get into the bloodstream, dilute blood levels of sodium leading to low sodium levels in the body. Bipolar TURP uses a saltwater (saline) solution, which effectively reduces the risk of this dreaded complication called the TUR syndrome. The reduced risk of TUR syndrome allows surgeons to spend more time doing the procedure, which ideally means they can work on larger prostates or perform more complex surgeries with bipolar TURP.
TURP is often recommended when prostate enlargement (benign prostatic hyperplasia) causes troublesome symptoms and fails to respond to treatment with medication. It can also be indicated following an episode of acute urinary retention.
Symptoms that may improve after TURP include:
