Technological Advances in Transurethral Resection of the Prostate: Bipolar versus Monopolar TURP
- 1 August 2008
- journal article
- research article
- Published by Mary Ann Liebert Inc in Journal of Endourology
- Vol. 22 (8), 1587-1596
- https://doi.org/10.1089/end.2008.0192
Abstract
One of the most significant recent advancements in transurethral resection of the prostate (TURP) is the incorporation of bipolar technology. Bipolar circuitry allows TURP to be performed in a normal saline environment, which addresses a fundamental concern of conventional monopolar TURP (i.e., the use of hypo-osmolar irrigation). As a result, the risks of dilutional hyponatremia and transurethral resection (TUR) syndrome are eliminated, allowing for longer and safer resection. This review discusses the principles and applications of electrosurgery in conventional monopolar as well as new bipolar saline-based TURP systems. This review also addresses the positive impact on patient safety and resident training.Keywords
This publication has 66 references indexed in Scilit:
- Erectile Dysfunction after PlasmaKinetic Vaporization of the Prostate: Incidence and Risk factorsJournal of Endourology, 2006
- Thick Loop Prostatectomy in the Endoscopic Treatment of Benign Prostatic Hyperplasia: Results of a Prospective Randomised StudyUrologia Internationalis, 2005
- Prospective Randomized Controlled Trial Comparing Plasmakinetic Vaporesection and Conventional Transurethral Resection of the ProstateAsian Journal of Surgery, 2005
- First Clinical Experience with New Transurethral Bipolar Prostate Electrosurgery Resection System: Controlled Tissue Ablation (Coblation Technology®)Journal of Endourology, 2004
- Thermal Artifacts in Bladder Tumors Following Loop Endoresection: Electrovaporization v ElectrocauterizationJournal of Endourology, 2004
- Use of Bipolar Energy for Transurethral Resection of Bladder Tumors: Pathologic ConsiderationsJournal of Endourology, 2004
- Electrovaporization Using a Rollerball Electrode for Flat or Small Papillary Tumors of the Bladder: Basic Study in DogsJournal of Endourology, 2001
- PREDICTORS OF LENGTH OF STAY FOR TRANSURETHRAL PROSTATECTOMY IN VICTORIAAnz Journal of Surgery, 1998
- A Comparison of Transurethral Surgery with Watchful Waiting for Moderate Symptoms of Benign Prostatic HyperplasiaNew England Journal of Medicine, 1995