One of the most widely practiced surgical procedures in benign prostatic hypertrophy is transurethral resection of the prostate (TURP).
This operation, however, is delicate, can lead to various complications and, for some patients, may be poorly indicated.
Therefore, in recent decades doctors and scientists have developed alternative operational approaches, which at the moment seem to promise well but need to be improved.
A first alternative approach is bipolar transurethral resection of the prostate, which differs from traditional TURP in the type of current used to dissect excess prostate tissue and to use a saline solution during the final urethra washing (NB : in traditional TURP, glycine washes are used, which in some subjects cause the so-called TURP syndrome)
A second alternative approach is the prostatic enucleation with Holmio laser, which involves the insertion of an endoscope in the urethra and the "comminution" by laser (whose source is connected to one end of the endoscope) of the prostate portion enlarged. This portion is then pushed into the bladder and only removed from here.
Finally, a third alternative approach is prostatic vaporization with laser, which is also based on the use of a laser source but, unlike the previous case, involves the burning of excess prostate tissue.
