Transurethral enucleation of benign prostatic hyperplasia

Area of Science:

• Urology
• Surgical Technology
• Endoscopic Procedures

Background:

• Transurethral resection of the prostate (TURP) is a common procedure for benign prostatic hyperplasia.
• Standard TURP carries risks, including capsular perforation and uncontrolled resection depth.
• A need exists for improved precision and safety in endoscopic prostate surgery.

Purpose of the Study:

• To introduce and evaluate a new prostatic detaching blade for endoscopic prostate resection.
• To assess the safety and efficacy of this new method in a patient cohort.

Main Methods:

• Development of a prostatic detaching blade for precise adenoma detachment along the surgical capsule.
• Endoscopic resection using the detaching blade and electric loop.
• Direct vision detachment of the adenoma from the surgical capsule.

Main Results:

• The new method was performed in 200 patients.
• All patients experienced symptom improvement.
• The detaching blade consistently allowed adenoma detachment along the surgical capsule.
• Resection depth was clearly defined, minimizing capsular perforation risk.

Conclusions:

• The prostatic detaching blade facilitates a new, precise endoscopic prostate resection method.
• This technique offers improved safety by defining resection depth and reducing capsular perforation risk.
• The method demonstrates high efficacy with universal symptom improvement in treated patients.