Bipolar Transurethral Resection of the Prostate (Bipolar TURP), using bipolar energy, is the evolution of the classic TURP surgical method. It is used mainly when the prostate has enlarged to the point of obstructing urinary flow, causing dysuria or even acute urinary retention.
Unlike the older monopolar method (which used distilled water), Bipolar TURP uses normal saline as the irrigation fluid. This eliminates the risk of dangerous fluid absorption by the body.
Urologist Dr. Angelos Economides, with specialised training in all modern endoscopic techniques for treating BPH, recommends it on an individualised basis to patients for whom the technique is indicated.
The procedure is performed through the urethra, without any external incision, with the patient under general or spinal (epidural) anaesthesia. A specialised endoscope, the resectoscope, which carries a high-definition camera for continuous visibility, is then introduced through the urethra and guided to the prostate.
The resectoscope incorporates a special wire electrical loop, which is activated by bipolar plasma current. In this way, the surgeon “shaves” and progressively removes the obstructive prostate tissue that is compressing the urethra.
The bipolar current also allows immediate and precise cauterisation of small bleeding vessels, providing excellent haemostatic control, which makes the method safer, even for patients on anticoagulants (after temporary discontinuation/modification of their treatment).
The removed pieces of prostate tissue are sent for histological examination.
At the end of the procedure, a special three-way Foley urinary catheter is placed in the bladder, often with continuous saline irrigation for the first few hours.
The urinary catheter is usually removed within 24 to 48 hours, and the hospital stay is 1–2 days.
After the procedure, there is a mild burning or irritation sensation during urination for a few days, while most patients experience a dramatic and lasting improvement in their urinary flow.
