Benign prostatic hyperplasia minimally invasive and endoscopic management

Abstract

Transurethral resection of the prostate is performed under intermittent or continuous irrigation using a nonconducting iso-osmotic irrigant solution (e.g., glycine). Resection is accomplished by a low power current, with the active electrode connected to the resectoscope and the neutral electrode fixed to the skin. The urethra is calibrated using urethral sounds prior to inserting the resectoscope Cystoscopic examination of the urethra, external sphincter verumontanum, prostate, bladder neck, and bladder is then performed (Fig. 33.1). Once other intravesical pathology has been ruled out, the resection may then commence. © 2006 Humana Press Inc.