[Transurethral low pressure prostatectomy. Technic, blood loss and water syndrome]

The new procedure for transurethral prostatectomy (TURP with physiologic low pressure irrigation and continuous aspiration of irrigant) reduces complication and mortality in respect to surgical prostatectomy: In 2.500 TURP clinical significant pulmonary embolism was not realised, mortality was 0.3%. The average blood loss was 238 cc. by a weight of 44.8 g, blood transfusion were necessary in only 4%. Low pressure TURP can be performed in most high risk patients, this is not true for open surgical prostatectomy, which has a rate of complications up to 25%. Postoperative recovery and late results are definitely improved by low pressure TURP, teaching is facilitated.