Large Hegar dilators as prostatic elevator during transurethral resection of the prostate

Large Hegar dilators can be used instead of an index finger through an O'Conner rectal shield to elevate the posterior lobe of the prostate for better access of the resectoscope. The dilators improve maneuverability and provide more length than a finger and are particularly useful in men with marked obesity, arthritic hips, or other conditions that interfere with rectal manipulation of the prostate.