Mr Richard Cetti BSc. MBBS FRCS(Urol) FRACS
Consultant Urological Surgeon
Launceston Health Hub
243/247 Wellington Street
Launceston 7250
Bipolar Transurethral Resection of the Prostate (bTURP)
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Is considered the gold standard surgical treatment for bladder out flow obstruction, and its symptoms, secondary to prostatic enlargement.
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Average flow rate improvement 162%.
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Minimally invasive. An endoscope is passed down the urethra. The occlusive prostatic tissue is resected and washed out, to create an open channel from the bladder.
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Its uses innovative electrocautery for plasma resection and vaporisation of the prostate, with less blood loss than conventional TURP, and less risk of fluid absorption complications.
What to expect
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GA or spinal anaesthesia
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Perioperative iv antibiotics
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Post-operative urethral catheter for 24-48hrs. Majority of patients are home the next day catheter free.
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Visible haematuria and irritative urinary symptoms may persist for 4 weeks.
Risks:
Bleeding requiring transfusion 1%
Sepsis 3%
Urinary incontinence <1%
Retrograde ejaculation 80%
Re-operation rate Cumulative 2%/yr