Rate :
Loading player ... The player requires Flash Player plugin




The metal sheath of the resectoscope is generously lubricated with a conductive jelly. An obturator is placed through the sheath to provide a smooth, blunt tip for easy passage through the fossa navicularis and anterior urethra. The instrument should gently enter the urethra under its own weight, to make the introduction as atraumatic as possible. If there is resistance to the passage, any force should be strictly avoided.
If the meatus is narrow, or there is a stricture of the meatus or the anterior urethra, a ‘blind’ internal urethrotomy up to 30 F with the Otis urethrotome is recommended. Further passage is either blind with the obturator inside the sheath or under direct vision using the 0° endoscope and the video camera. Gentleness and care are essential to avoid urethral strictures. Via the video monitor the bulbar urethra, the external sphincter and the prostatic urethra with the prostatic lobes and the verumontanum are inspected. Then a systematic evaluation of the entire bladder surface using angular optical lenses is mandatory.

If there are bladder calculi, lithotripsy is conducted before TURP begins. Larger stones can be fragmented using an ultrasonic lithotripter or Lithoclast (mechanical impactor), and smaller stones or fragments are crushed by a stone punch until small enough to be evacuated. Only after ensuring that the bladder mucosa is free should the jaws of a stone punch be screwed together to crush the stone inside the bladder cavity. Crushing should never be attempted without a clear view, to avoid bladder damage. The fragments are irrigated from the bladder with an ‘Ellick’ evacuator.

Comments : 8

  • Christenson

    Professor   |     |  
      |   3/18/2021 5:18:56 PM
    Great post however , I was wondering if you could write a litte more on this subject?
    I'd be very thankful if you could elaborate a little bit
    more. Appreciate it!
  • Locklear

    Professor   |     |  
      |   2/1/2021 9:42:52 PM
    Every weekend i used to pay a visit this web site, because i wish for enjoyment, since this
    this web site conations in fact pleasant funny data too.
  • Wannemaker

    Professor   |     |  
      |   8/6/2020 5:59:45 PM
    First off I want to say great blog! I had a quick question in which I'd like to ask if you don't
    mind. I was interested to find out how you center yourself and clear your
    thoughts before writing. I have had difficulty clearing
    my thoughts in getting my thoughts out there.
    I do enjoy writing but it just seems like the first 10 to 15
    minutes are generally wasted simply just trying to figure out how
    to begin. Any recommendations or hints? Thank you!
  • Martindale

    Professor   |     |  
      |   8/10/2020 12:08:04 PM
    I'm not sure exactly why but this website is loading
    incredibly slow for me. Is anyone else having this issue or is it
    a issue on my end? I'll check back later on and see if the problem still exists.
  • Zoll

    Professor   |     |  
      |   3/22/2021 1:20:03 PM
    Hurrah! In the end I got a weblog from where I can genuinely take useful
    data concerning my study and knowledge.
  • Cubadgee

    Professor   |     |  
      |   6/20/2020 6:08:38 AM
    Post writing is also a excitement, if you be familiar with afterward you can write or else it is
    complex to write.
  • Carslaw

    Professor   |     |  
      |   2/3/2021 3:24:06 AM
    Hi my friend! I wish to say that this post is awesome, nice written and come with
    almost all vital infos. I'd like to see extra posts like this .
  • Cress

    Professor   |     |  
      |   6/21/2020 5:06:18 AM
    Hey there I am so grateful I found your site, I
    really found you by mistake, while I was searching on Askjeeve for something else,
    Anyways I am here now and would just like to say kudos for a marvelous post and a all round exciting blog (I also love the theme/design), I don’t have time to go
    through it all at the moment but I have book-marked it and also added in your RSS feeds, so when I
    have time I will be back to read a lot more, Please do
    keep up the awesome b.
  • Leave message

    Your rating:
    Security code