• Monopolar TURP: A wire loop with an electrical current running in one direction (monopolar) through the resectoscope is used to cut the tissue during conventional TURP. Non-conducting fluid (glycerine) is used to irrigate the surgical site. The fluid keeps the electrical current from disturbing the surrounding tissues. However, it can cause harm to the surrounding tissue with extended exposure, resulting in TUR syndrome.
• Bipolar TURP: A recent procedure, bipolar TURP, removes tissue using bipolar current. It decreases complications such as TUR syndrome since it allows for saline irrigation (rather than glycine seen in monopolar TURP). This enables extended procedure lengths.
• Plasmakinetic Resection: It is also known as Button resection and employs ionized vapor that heats a hemispherical button with low voltage electricity to vaporize the prostate tissue from within. This is often regarded as the least intrusive of all current procedures. It also has fewer postoperative problems and a quicker recovery time.

When prostate enlargement (benign prostatic hyperplasia) creates symptoms and does not respond to treatment, TURP is frequently advised. It is also recommended after an episode of acute urine retention. After a TURP, the following symptoms may improve:

• Difficulty initiating a stream of urine
• A sluggish urine flow or frequent halting and commencing
• Having to squirm to pass urine
• The urge to urinate on a regular basis
• Waking up several times during the night to urinate (nocturia)
• The urge to urinate on the spur of the moment
• The inability to empty your bladder fully

Bipolar TURP appears to be just as successful at shrinking the prostate as standard TURP. In bipolar TURP, the energy is contained within the device. In a standard (or monopolar) TURP, the electric current can escape the wire and cause harm to the tissues around the prostate.

Bipolar TURP has also been demonstrated in several trials to prevent problems, such as bleeding, during and after surgery. This may also reduce the duration for which men need to wear a catheter (a tube to evacuate pee) after surgery. One post-TURP issue that bipolar TURP appears to prevent is TUR syndrome, an uncommon but serious disorder.

The surgeon washes away the operative area with fluid during standard (monopolar) TURP to keep it clean and clear. This fluid is low in sodium and can enter the bloodstream, diluting blood sodium levels and resulting in low sodium levels in the body.

The use of a saltwater (saline) solution in bipolar TURP significantly minimizes the probability of this feared complication called TUR syndrome. Because of the lower risk of TUR syndrome, surgeons can spend more time performing the surgery, allowing them to work on larger prostates or perform more intricate surgeries with bipolar TURP.

Typically, the patient will be hospitalized for two days after TURP. The patient will be catheterized in order to remove any blood or blood clots from the bladder. When the urine is relatively blood-free, the patient is usually discharged. For around six weeks, the patient should avoid intense exertion and sexual activity. During this period, the patient should also prevent fecal constipation, which might cause strain during bowel movements. Laxatives and purgatives might be required in this period.

Bipolar TURP has risks and potential problems, much like any other surgical operation. These are some examples:

• Bleeding: In most cases, blood loss during bipolar TURP is minor. The chance of bleeding necessitating a blood transfusion is 5%.
• Infection: There’s a 5% chance of infection. To reduce the chances of a urinary infection, broad-spectrum antibiotics are given at the start of the procedure.
• 80% retrograde ejaculation
• 5% of men suffer from erectile dysfunction

• Monopolar or Regular/Standard TURP
• Laser Prostatectomy
• Urolift
• Trans-urethral water vaporization of the prostate

After surgery, the patient will be taken to the recovery room and later to the hospital room once completely conscious.

Pain after surgery is usually minimal, and oral analgesics will be prescribed to control it.

A bladder catheter is put in the operating room while you are asleep and is normally retained in place for 1-2 days after the surgery. Your surgical team will be able to monitor your urine production continually as a result of this. It is not unusual to have blood-tinged urine for several days following surgery. Typically, the catheter is removed before discharge.

Once fully conscious, you will gradually transition from a diet of clear liquids to solid foods as much as your body can tolerate. In addition, intravenous fluids will be given to keep your body hydrated after surgery.

It is critical to get out of bed the evening before or the morning after surgery and begin walking under the supervision of your nurse or a family member to help prevent blood clots from forming in your legs. It is recommended that you continue to walk throughout and after your hospital stay. The more walking you can handle, the better.

Most patients stay in the hospital for about 2 days on average.

It is determined by the hospital or the clinic where you undergo surgery.

According to statistics, 70-100% of patients claim relief in their symptoms. In general, the greater the relief they feel, the worse their initial symptoms were. According to the American Urological Association ratings, symptoms improve by an average of 85%.