3. What is the difference between monopolar and bipolar TURP?
Saline cannot be used with monopolar cautery due to its electrical conducting properties. It can however be used with bipolar cautery. Bipolar cautery also causes lesser tissue damage, lesser chances of TURP syndrome, reduced duration when the patient will require a catheter, and sometimes faster discharge from the hospital.
4. Which are the other procedures that can be done for the treatment of BPH?
Prostate enlargement can be tackled through various surgical procedures besides TURP and these include -
- Transurethral needle ablation: In this procedure, needles that transmit radio frequency energy and destroy prostatic tissue are introduced through a cystoscope.
- Transurethral microwave thermotherapy: In this procedure, an antenna is introduced through a catheter which sends microwaves and heats and destroys the prostate tissue.
- High-intensity focused ultrasound: A special ultrasound probe is introduced into the rectum, which destroys some of the prostate tissue
- Water-induced thermotherapy: In this procedure, heated water is introduced into a treatment balloon through a catheter, which destroys the prostate tissue through heat
- Prostate-stent insertion: In this procedure, a stent is inserted into the prostatic urethra so that it widens the opening and makes it easy for the urine to flow
- Holmium Laser Enucleation of the Prostate (HoLEP): In this procedure, laser is used to cut off pieces of the prostate. The pieces are then sucked out from the bladder and sent for pathological examination.
- Vaporization of the prostate tissue can be brought about with the help of an electric current (Transurethral Electroevaporation of The Prostate (TUVP)) or through laser Photoselective Vaporization (PVP)
- Transurethral incision of the prostate (TUIP): In this procedure, small cuts are made in the prostate and bladder neck using laser or an instrument producing electric current introduced through a cystoscope
- Open prostatectomy: Open prostatectomy is an open surgery on the prostate. Depending on the site of the incision, open prostatectomy may be retropubic prostatectomy, suprapubic prostatectomy, and perineal prostatectomy