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 : 22

  • Colebatch

    11/24/2021 10:22:50 PM
    Yes! Finally someone writes about a.
  • Pink

    10/26/2021 10:20:45 AM
    An intriguing discussion is definitely worth comment.
    There's no doubt that that you should write more on this
    subject matter, it may not be a taboo subject but usually people don't speak about such topics.
    To the next! Many thanks!!
  • Livingston

    9/19/2021 3:41:07 PM
    I have read so many content regarding the blogger lovers however this paragraph is genuinely
    a pleasant article, keep it up.
  • Harper

    9/12/2021 7:19:44 AM
    Hi there! Someone in my Facebook group shared this site
    with us so I came to check it out. I'm definitely enjoying the information. I'm bookmarking and will be tweeting this to my followers!

    Superb blog and amazing design. scoliosis surgery https://0401mm.tumblr.com/ scoliosis surgery
  • Krawczyk

    9/11/2021 2:44:35 PM
    Ahaa, its good conversation on the topic of this piece of writing at this place at this
    weblog, I have read all that, so now me also commenting at this place.
    quest bars http://tinyurl.com/49u8p8w7 quest bars
  • Blaxcell

    9/6/2021 1:03:23 AM
    We stumbled over here by a different page and thought I might check
    things out. I like what I see so now i'm following you.

    Look forward to looking at your web page yet again.
  • Leventhal

    9/4/2021 2:21:43 PM
    Valuable information. Lucky me I discovered your website by accident, and I'm shocked why this coincidence did not
    came about earlier! I bookmarked it.
  • Shenton

    8/11/2021 3:01:55 PM
    Your mode of describing all in this article is in fact
    pleasant, all can effortlessly be aware of it, Thanks a lot.
  • Cranwell

    8/10/2021 2:26:20 AM
    Appreciate this post. Will try it out.
  • Ladner

    7/27/2021 5:42:57 AM
    I'm curious to find out what blog system you happen to be
    working with? I'm experiencing some minor security issues with my latest
    site and I would like to find something more safe. Do you have any suggestions?
  • Gomez

    6/21/2021 5:48:41 PM
    Have you ever thought about writing an ebook or guest authoring
    on other blogs? I have a blog based on the same subjects you discuss and would really
    like to have you share some stories/information. I know my audience would appreciate your
    work. If you are even remotely interested, feel free to
    shoot me an email.
  • Davitt

    5/30/2021 6:16:30 PM
    This piece of writing is truly a nice one it assists new internet people, who are wishing in favor of blogging.
  • Waldo

    4/16/2021 8:27:31 AM
    I must thank you for the efforts you have put in writing this website.
    I am hoping to see the same high-grade content by you
    later on as well. In fact, your creative writing abilities has encouraged me to get my very own website now
    ;) asmr 0mniartist
  • May

    4/14/2021 9:19:32 AM
    wonderful points altogether, you simply won a emblem new reader.
    What might you suggest in regards to your submit that you made some days
    ago? Any positive? 0mniartist asmr
  • Zoll

    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.
  • Christenson

    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!
  • Carslaw

    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 .
  • Locklear

    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.
  • Martindale

    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.
  • Wannemaker

    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!
  • Cress

    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.
  • Cubadgee

    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.
  • Leave message

    Your rating:
    Security code