(Trans Urethral Resection Of Prostate) is GOLD STANDARDARD in prostatic management involves Endoscopic Trans Urethral Resection of the prostate with the mono polar current, with glycine as the irrigating fluid. Post-operatively patient is kept in hospital for 3-4 days.
(Plasma Kinetic Resection Of Prostate) is Conventionally like TURP, but here, the more superior method of cutting the tissue is used. PLASMA KINETIC CUTTING, which closes the blood vessels as cutting occurs, using normal saline as the irrigating fluid (NS is a physiological solution therefore its absorption is not dangerous )Bleeding is significantly low and hospital stay and catheter time is also less than TURP. Also called as BIPOLAR TURP, it is now replacing TURP majorly. It is successfully used for cardiac patients, high risk patients and patients on pace-makers.
TUBE (transurethral bipolar enucleation) of Prostate is the latest in treatment of BEP. Here the adenoma is enucleation using the bipolar. It has an advantages of blood loss, less operative synptoms e.g. Bony while hasty urine (specially post laser prostate surgery) lesser chances of urinary incontinence.
Here the energy source used to resect the adenoma of prostate is LASER (light amplification by stimulated emission of radiation). Various types of lasers have been coming and going ever since its advent 30 yrs ago. None of them have been able to replace the GOLD STANDARD TURP. HOL YAG is a versatile urology laser. Advantage of laser is that it is safer in patients with high cardiac risk .
Rarely done now a days. Only indication is a very large gland for example 250 gm or more. That too can be managed by a staged endoscopic procedure.