with Dr. Jörg Rassler
Dr. Jörg Rassler performs a Transurethral Enucleation of the Prostate with Plasma to a 68 years old patient with sever syduria, nycturia 3-4 times per nigh and a PSA of 2.51.
Clinical Background
1) Continuous flow resectoscope 27 F, active, 12°
2) HF-Generator, bipolar 200 W cutting, 120 W coag.
3) Pre-warmed NaCl solution (32°C)
4) Spinal anesthesia
Technique Description
1) Resection of 6 o’clock channel
2) Enucleation of the left lobe
3) Resection of the enucleated lobe
4) Enucleation and resection of the right lobe
5) Trimming of the bladder neck
6) Coagulation, chip removal, catheter
Transurethral mechanical enucleation technique
Avoidance of morcellation
Anatomical landmarks
Prograde ejaculation preserving technique
68 y.o. patient
Severe dysuria, nycturia 3-4 times/night
PSA 2.51
BPH, failure of drug therapy (Tamsulosin)
Vol. 60cc, multiple calcifications esp. left lobe
Res. Vol. 30ml
Comorbidity
Nephrolithiasis
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