CHAPTER 35

Transurethral Resection of the Prostate (TURP)

Additional images are available at: evolve.elsevier.com/Tighe/instrumentation/

TURP is the removal of the enlarged portion of the prostate gland with a resectoscope.

Possible equipment needed for the procedure includes an electrosurgical unit, volumes of irrigating solution, a light source, and an Ellik evacuator.

A brief description of the procedure follows:

1. A van Buren dilator is inserted to enlarge the urethra.

2. The resectoscope sheath with obturator is passed into the bladder.

3. Irrigating tubing is attached, and the bladder is filled with solution.

4. A fiberoptic cord and electrosurgery cord are connected.

5. The obturator is removed and the Iglesias working element is inserted.

6. A cutting electrode is inserted to remove prostate tissue.

7. A ball electrode is used to cauterize bleeders.

8. An Ellik evacuator is used to retrieve the specimen that has floated into the bladder.

9. A spoon is used for prostate tissue that is drained from the bladder and collects on the screen of the drape.

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