Beware of Bipolar Transurethral Resection of Prostate in Patients with Previously Inserted Metallic Prostate Stapling Devices
Metallic prostate stapling (e.g., UroLift) is a minimally invasive treatment option for men with bladder outlet obstruction from benign prostatic hyperplasia (BPH). While it provides rapid relief and preserves sexual function, unexpected interactions with other medical devices can compromise surgica...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-04-01
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| Series: | Société Internationale d’Urologie Journal |
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| Online Access: | https://www.mdpi.com/2563-6499/5/2/17 |
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| author | Jianliang Liu Nathan Lawrentschuk Dixon T. S. Woon |
| author_facet | Jianliang Liu Nathan Lawrentschuk Dixon T. S. Woon |
| author_sort | Jianliang Liu |
| collection | DOAJ |
| description | Metallic prostate stapling (e.g., UroLift) is a minimally invasive treatment option for men with bladder outlet obstruction from benign prostatic hyperplasia (BPH). While it provides rapid relief and preserves sexual function, unexpected interactions with other medical devices can compromise surgical procedures. In this letter, we highlight five cases where stapled metallic implants resulted in damage to bipolar energy device during transurethral resection of the prostate (TURP) and stimulation of obturator nerve. Laser may also reflect off metallic prostate implants which can result in laser equipment malfunction. Monopolar TURP should be considered in patients with existing metallic prostate implants who need further transurethral surgery for obstructive BPH to prevent bipolar instrument damage and obturator kick. |
| format | Article |
| id | doaj-art-54225dcae27e4f9da711e2c2b8e5238b |
| institution | DOAJ |
| issn | 2563-6499 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Société Internationale d’Urologie Journal |
| spelling | doaj-art-54225dcae27e4f9da711e2c2b8e5238b2025-08-20T03:19:24ZengMDPI AGSociété Internationale d’Urologie Journal2563-64992024-04-015210110310.3390/siuj5020017Beware of Bipolar Transurethral Resection of Prostate in Patients with Previously Inserted Metallic Prostate Stapling DevicesJianliang Liu0Nathan Lawrentschuk1Dixon T. S. Woon2EJ Whitten Prostate Cancer Research Centre, Epworth Healthcare, Melbourne, VIC 3121, AustraliaEJ Whitten Prostate Cancer Research Centre, Epworth Healthcare, Melbourne, VIC 3121, AustraliaEJ Whitten Prostate Cancer Research Centre, Epworth Healthcare, Melbourne, VIC 3121, AustraliaMetallic prostate stapling (e.g., UroLift) is a minimally invasive treatment option for men with bladder outlet obstruction from benign prostatic hyperplasia (BPH). While it provides rapid relief and preserves sexual function, unexpected interactions with other medical devices can compromise surgical procedures. In this letter, we highlight five cases where stapled metallic implants resulted in damage to bipolar energy device during transurethral resection of the prostate (TURP) and stimulation of obturator nerve. Laser may also reflect off metallic prostate implants which can result in laser equipment malfunction. Monopolar TURP should be considered in patients with existing metallic prostate implants who need further transurethral surgery for obstructive BPH to prevent bipolar instrument damage and obturator kick.https://www.mdpi.com/2563-6499/5/2/17bladder outlet obstructionbenign prostatic hyperplasiaurinary tract diseaseminimal invasive surgical proceduresmale urologic surgical procedureslower urinary tract symptoms |
| spellingShingle | Jianliang Liu Nathan Lawrentschuk Dixon T. S. Woon Beware of Bipolar Transurethral Resection of Prostate in Patients with Previously Inserted Metallic Prostate Stapling Devices Société Internationale d’Urologie Journal bladder outlet obstruction benign prostatic hyperplasia urinary tract disease minimal invasive surgical procedures male urologic surgical procedures lower urinary tract symptoms |
| title | Beware of Bipolar Transurethral Resection of Prostate in Patients with Previously Inserted Metallic Prostate Stapling Devices |
| title_full | Beware of Bipolar Transurethral Resection of Prostate in Patients with Previously Inserted Metallic Prostate Stapling Devices |
| title_fullStr | Beware of Bipolar Transurethral Resection of Prostate in Patients with Previously Inserted Metallic Prostate Stapling Devices |
| title_full_unstemmed | Beware of Bipolar Transurethral Resection of Prostate in Patients with Previously Inserted Metallic Prostate Stapling Devices |
| title_short | Beware of Bipolar Transurethral Resection of Prostate in Patients with Previously Inserted Metallic Prostate Stapling Devices |
| title_sort | beware of bipolar transurethral resection of prostate in patients with previously inserted metallic prostate stapling devices |
| topic | bladder outlet obstruction benign prostatic hyperplasia urinary tract disease minimal invasive surgical procedures male urologic surgical procedures lower urinary tract symptoms |
| url | https://www.mdpi.com/2563-6499/5/2/17 |
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