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Video-resection does not stop corneal contamination during transurethral resection of the prostate
1Department of Urology, Royal Surrey County Hospital, Guildford, UK.
Objectives:
To determine the efficacy of video-resection systems in reducing the risk of corneal contamination during transurethral resection of the prostate (TURP) and thus in decreasing the possibility of transmission of blood-borne diseases from the patient.
Materials And Methods:
After performing a TURP using a video camera system in 30 patients, the number of potential corneal droplets was measured for one operator wearing a pair of spectacles and, for a second operator, over an identically sized area of a standard disposable plastic eyeshield.
Results:
In 20 (67%) of cases, droplets were observed on the eye protection, correlating with potential corneal contamination. Splashes were also seen on the face-mask of the eyeshield.
Conclusion:
Urologists should use eye and face protection when performing TURP using a video system.
Insights
Video-resection systems during transurethral resection of the prostate (TURP) may pose a risk of corneal contamination. Urologists should wear eye and face protection to mitigate potential exposure to blood-borne diseases.
Area of Science:
- Urology
- Infectious Disease Prevention
- Surgical Safety
Background:
- Transurethral resection of the prostate (TURP) is a common surgical procedure.
- Video-resection systems are increasingly used in TURP.
- Potential for aerosolization and splashing of bodily fluids exists during TURP.
Purpose of the Study:
- To evaluate the effectiveness of video-resection systems in preventing corneal contamination during TURP.
- To assess the risk of blood-borne disease transmission from patients to urologists during TURP.
Main Methods:
- A TURP procedure was conducted using a video camera system in 30 patients.
- Droplet counts on eye protection were measured for two operators.
- Spectacles and disposable plastic eyeshields were tested.
Main Results:
- Corneal contamination was observed in 67% of cases (20 out of 30 patients).
- Droplets were found on eye protection, indicating potential corneal contamination.
- Splashes were also noted on face masks worn with eyeshields.
Conclusions:
- Urologists performing TURP with video systems are at risk of corneal contamination.
- The use of eye and face protection is crucial during video-assisted TURP.
- Implementing protective measures can reduce the risk of blood-borne disease transmission.