Electrovaporization of Prostate Adenoma

Abstract Transurethral resection of the prostate (TURP) has seen significant technical improvements, which have had a strong impact on the incidence of intra- and postoperative complications. The introduction of bipolar resection was an important step in developing electrovaporization techniques, especially after the appearance of the Gyrus ® PlasmaKinetic ® Tissue Management System (Gyrus Medical Ltd, Bucks, UK). This new alternative therapy proved to be as effective as TURP, showing very good long-term results with minimum immediate postoperative complications. A new variant of this technique, bipolar plasma vaporization using the transurethral resection in saline (TURis) system, was introduced in clinical practice with favorable results. While monopolar resection achieves prostate ablation by tissue resection and hemostasis by fulguration, transurethral vaporization is based on the combination of vaporization and tissue desiccation.