Plasma electrosurgery is the most effective treatment for prostate and bladder tumor electrosurgery. The biggest problem with conventional electrosurgery in the past is that it is easy to form water toxicity in patients, poor hemostasis, and requires the surgeon to control the surgery to be completed within an hour, so it is difficult for young surgeons to master the technique of electrosurgery. The actual fact is that the actual procedure can be prolonged and avoid the occurrence of TURS, the electric cutting syndrome.
Since the use of saline as the irrigation fluid avoids the occurrence of dilutional hyponatremia and basically no TURS, TUPKBP improves surgical safety and increases the rate of tissue removal. It is less restricted by the size of the prostate, which relatively prolongs the surgical cutting time and accordingly extends the surgical indications and reduces the surgical risks, and also facilitates more thorough removal of the enlarged prostate tissue; 2. It shortens the postoperative recovery time of the patient.
Due to the limited thermal penetration of plasma electrodes, there is less charring of the cut surface and less damage to the surrounding tissues, which reduces postoperative bladder irritation. Because there is no heat conduction effect, no electric current passes through the adjacent organs and tissues, no damage to the tissues, less chance of occluding nerve reflexes, and less urinary tract irritation in patients. The postoperative flushing time and retention time of urinary catheter were significantly shorter than those of the vaporization electrodes, which shortened the patients’ postoperative recovery time.
3. Less intraoperative and postoperative bleeding.
The temperature of the cutting surface of the tissue is only 40-70 degrees because of the bipolar circuit and low temperature cutting, plus the very limited heat transmission, the electrocoagulated tissue is white and rarely charred, reducing intraoperative bleeding and postoperative rebleeding due to the shedding of joga.
4.Improve the detection rate of incidental cancer of prostate.
Since the surface temperature of the target tissue cut by TUBVP is 40-70℃, there is less tissue evaporation, which is conducive to histopathological examination. Compared with prostate vaporization electrodes, plasma electrodes are smaller and finer because of the relatively smaller double ring, and the cut surface is basically free of charring, which makes it easier to detect incidental prostate cancer. Of course, compared to prostate vaporization, the plasma bipolar electrode ring is relatively small, so the speed of cutting is relatively slow. In summary, the author believes that transurethral electrodes and transurethral plasma electrodes are both safe, less complicated and more effective surgical methods, and are recognized as the “gold” standard for the treatment of prostate enlargement. However, from the point of view of intraoperative and post-operative complications, bipolar plasma electrosurgery has better advantages.