Closed video transurethral resection of the prostate for the prevention of infection
1Department of Urology, Sendai Shakaihoken Hospital, Japan.
Abstract:
An instrument with which safe and clean video transurethral resection of the prostate (video TURP) can be performed has been developed by the author; its use could minimize the risk to the operating staff of being infected by such dangerous viruses as human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV). The instrument consists of a bag made of transparent synthetic resin (polyvinyl chloride), used to cover the patient's penis and a resectoscope with a super miniature video camera unit. Irrigation fluid from the patient's bladder flow into the bag and is drained into the drainage hose through the conduit in the bottom of the bag. When this is used, contamination of clothes of the surgical staff and the surroundings with blood-contaminated irrigation fluid is avoided.
Insights
A novel instrument enables safe and clean video transurethral resection of the prostate (video TURP), minimizing infection risks for surgical staff from viruses like HIV, HBV, and HCV.
Area of Science:
- Urology
- Surgical Technology
- Infectious Disease Prevention
Background:
- Transurethral resection of the prostate (TURP) generates infectious fluid aerosols.
- Surgical staff face risks of HIV, HBV, and HCV exposure during TURP.
- Existing TURP methods may not fully contain infectious fluid splashes.
Purpose of the Study:
- To introduce a novel instrument for safe and clean video TURP.
- To reduce the risk of infection transmission to surgical staff.
- To prevent contamination from blood-infused irrigation fluid.
Main Methods:
- Development of a specialized instrument for video TURP.
- The instrument incorporates a transparent polyvinyl chloride bag covering the penis.
- A resectoscope with a miniature video camera is integrated into the device.
Main Results:
- The instrument effectively contains irrigation fluid within the bag.
- Contamination of surgical staff's clothing and the environment is prevented.
- Facilitates a safe and clean video TURP procedure.
Conclusions:
- The developed instrument enhances safety during video TURP.
- It significantly minimizes the risk of viral infection for operating staff.
- Promotes a cleaner surgical environment by containing infectious fluids.
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