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Continuous Intravesical Pressure Monitoring Using a Handheld Pressure Meter During Prostatic Morcellation: A

Mohamed Omar¹, Ahmed Mehana¹, Vineet Gauhar²

¹Urology Department, Menoufia University, Menoufia, Egypt.

Journal of Endourology

|May 25, 2026

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This summary is machine-generated.

Continuous intravesical pressure (IVP) monitoring during transurethral morcellation improves efficiency and reduces pauses. This technique enhances safety and functional outcomes in prostate enucleation procedures.

Area of Science:

Urology
Surgical Technology
Medical Devices

Background:

Adequate bladder distention is crucial for safe and efficient transurethral morcellation in endoscopic prostate enucleation.
Traditional methods for assessing bladder distention are subjective and may impact procedure safety and efficiency.
Continuous intravesical pressure (IVP) monitoring offers a potential objective alternative.

Purpose of the Study:

To evaluate the feasibility and impact of continuous IVP monitoring using a handheld pressure meter during transurethral morcellation.
To compare IVP monitoring with conventional manual bladder assessment in terms of safety and efficiency.

Main Methods:

A prospective, randomized pilot study involving 30 patients undergoing transurethral morcellation after bipolar prostate enucleation.

Keywords:

intravesical pressure monitoring morcellation pressure meter prostate enucleation

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Patients were randomized to either continuous IVP monitoring (Group A) or manual suprapubic bladder assessment (Group B).

Morcellation in Group A was performed within a predefined safe IVP range (15-60 mmHg), with adjustments as needed.

Main Results:

Group A demonstrated significantly shorter morcellation times (8.9 vs 13.3 minutes) and fewer pauses (3.3 vs 5.7).
Morcellation efficiency was significantly higher in Group A (9.9 vs 5.9 g/min).
No significant differences were observed in operative time, hemoglobin deficit, complications, or functional outcomes between groups.

Conclusions:

Continuous IVP monitoring is a feasible technique that enhances transurethral morcellation efficiency and reduces interruptions.
This method improves efficiency without compromising safety or functional outcomes post-prostate enucleation.
The technique is an inexpensive safety adjunct, particularly beneficial for less experienced surgeons, warranting further investigation in larger trials.